关键词: child neurology medical education pediatric residency

Mesh : Attitude of Health Personnel Clinical Competence / statistics & numerical data Education, Medical, Graduate / methods Female Focus Groups Humans Internship and Residency / methods Male Motivation Neurology / education Pediatrics / education Qualitative Research Students, Medical / psychology statistics & numerical data

来  源:   DOI:10.1177/0009922819870557   PDF(Sci-hub)

Abstract:
Objective. To understand pediatric residents\' experiences and attitudes toward learning neurology; and to identify facilitators and barriers to learning neurology during residency. Study Design. Qualitative study using focus groups of pediatric residents at Stanford during November 2017. Focus groups were audio-recorded and transcribed verbatim. Investigators independently coded the transcripts and reconciled codes to develop themes using constant comparison associated with grounded theory. Results. Eighteen pediatric residents participated in 3 focus groups. Four themes emerged: (1) residents feel unprepared and uncomfortable; (2) intrinsic and extrinsic factors contribute to residents\' dependence on neurologists; (3) residents desire more teaching; and (4) residents are motivated to overcome their dependence on neurologists and optimize their learning. Conclusion. Pediatric residents are motivated to acquire more skills to assess and manage patients with neurological conditions. They recognize key factors that contribute to a cycle of dependence that impedes their learning and offer strategies to overcome these barriers.
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