Concern exists that the transition from student to doctor is abrupt and stressful, and that new graduates lack both clinical skills and confidence. This paper explores the effect of a preparation programme on the confidence and skills of new graduates commencing their first clinical post. Fifty-three participants in two English hospitals undertook a two-week induction combining life support, emergency and clinical skills training with administrative induction and shadowing the outgoing house officer. Questionnaires and focus groups at the beginning, end, and one month following the programme explored participants' perceptions. Respondents were initially anxious about starting work, concerned mainly about clinical skills; taking responsibility; being alone; non-technical skills; and local geography and procedures. Confidence increased following the programme, and the programme's contents directly mitigated some fears. Shadowing was most highly valued, though experiences varied; acute emergency training was also valued, but clinical skills revision was more variably received. Having commenced work, these perceptions remained. Confidence increased further, but clinical practice still represented a steep learning curve. This programme to support the transition from medical student to practising doctor was useful and effective, but could be improved. Increasing responsibility during shadowing could effect an even smoother transition.

译文

人们担心从学生到医生的过渡是突然而紧张的,新毕业生缺乏临床技能和信心。本文探讨了准备计划对新毕业生开始其第一个临床职位的信心和技能的影响。两家英国医院的53名参与者进行了为期两周的入职培训,结合了生命支持,急诊和临床技能培训以及行政入职培训,并为即将离任的房屋官员提供了阴影。在计划开始,结束和之后的一个月进行问卷调查和焦点小组探讨了参与者的看法。受访者最初对开始工作感到焦虑,主要关注临床技能; 承担责任; 独自一人; 非技术技能; 以及当地的地理和程序。该计划之后的信心增强,该计划的内容直接减轻了一些担忧。尽管经历各不相同,但阴影最受重视; 急性急诊培训也受到重视,但临床技能的修订却更加多样化。在开始工作后,这些看法仍然存在。信心进一步提高,但临床实践仍然代表着陡峭的学习曲线。该计划支持从医学生到执业医生的过渡是有用且有效的,但可以改进。阴影过程中责任的增加可能会导致更平稳的过渡。

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