醫師的誕生---實習醫師社會化過程之質性研究

王玫玉

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醫師的誕生---實習醫師社會化過程之質性研究

Birth of the Doctor:A Qualitative Study of Medical Socialization on Interns.

王玫玉 , Masters　　Advisor：劉仲冬　　

繁體中文

實習醫師；臨床實習；社會化過程；前導性研究；質性研究；探索性研究；內化；角色典範； interns ； clinical practice ； socialization process ； pilot study ； qualitative study ； exploratory study ； internalization ； role model

Abstract │ Reference (63) │ Times Cited (1) │ Altmetrics

Abstract 〈TOP〉

Parallel Abstract 〈TOP〉

Internship is an important stage for interns to become doctors. For interns, it is undoubtedly a period full of challenges and they are required to behave like doctors. After being a student for a long time, an intern is suddenly asked to assume the responsibility and role of a doctor. What is an intern’s perception toward his/her identity and role change during the one-year internship? In addition, what is an intern’s experience and subjective perceptions during the dynamic learning? All of those problems would involve the socialization and medical attitudes of a doctor. The purpose of this study was to analyze the cultural meaning of a doctor’s socialization by the clinical experience of an intern. We performed a qualitative analysis about the content of interviews and explored the literatures to collect data. Before the formal research, we had conducted a four and half a months’ pilot study, which was revised according to the previous pilot studies and focused our attention on specific problems. From June 1, 2001 to the end of May, 2002, we conducted a one-year formal research to interview 10 interns, including those in the pilot study. Each interview lasted at least one hour. All the information was integrated and analyzed and the whole process was explored completely. We hope to get more thorough and informative data. We found that under the medical culture, the clinical learning of an intern is a two-way subjective and objective process. During the learning, interns would gradually accept the disciplines and roles that are defined by the medical culture they participated. With continuous modification and internalization, they built their own self-value and attitudes toward medical professionals. Above all, they redefined a doctor’s role model defined by the medical culture, and no more perfect image was created. They viewed the doctor’s role model as a process of taking apart and rebuilding, and then patched the image of doctors again. Through the analysis of local intern’s clinical experiences, we hope to help the improvement of medical education and clinical teachers can realize more about what the interns’ perceptions are. Also, we hope to provide guidelines to the professional development of a doctor, and not to bury the subjective perceptions and thoughts of an intern. Key words : interns, clinical practice, socialization process,pilot study,qualitative study, exploratory study, internalization , role model

Reference ( 63 ) 〈TOP〉

參考文獻中文部分王崇禮、侯勝茂(民87)。臺大醫院實習醫師訓練。醫學教育2(3)，P.79-80。
連結：
王崇禮、李宇宙、楊培銘、侯勝茂(民86)。台大醫院實習醫師訓練現況與成效。醫學教育1(3)，P. 297-305。
連結：
宋瑞樓(民80)。醫師教育。當代醫學18(5)，P.436-41。
連結：
李明濱、謝博生(民88)。醫學生之醫療態度教育。醫學教育3(1)，P.1-2。
連結：
李志成、凌琪翔譯(民88)。社會科學論文寫作指導。台北:桂冠。吳芝儀、李奉儒譯(民84)。質的評鑑及研究。台北:桂冠。林明燦等(民88)。實習醫師臨床智能考試。醫學教育3(3)，P.238-42。
連結：

Times Cited (1) 〈TOP〉

廖偉迪(2010)。社會工作碩士班研究生實習內涵之研究─期待與實際之間。政治大學社會工作研究所學位論文。2010。1-184。

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