導師參加輔導研習營前後對輔導認知與態度之改變

Counseling for Young Doctors: Differences in the Perception and Attitude of Counselors Before and after a Training Course

徐淑婷(Su-Ting Hsu) ； 柯乃熒(Nai-Ying Ko) ； 張明永(Mian-Yoon Chong)

《Journal of Medical Education》 13卷4期 (2009/12) Pp. 242-248

https://doi.org/10.6145/jme.200912_13(4).0004

摘要

諮詢輔導對每位畢業後醫師之成長與問題解決能力有很大的助益；而衛生署推行畢業後一般醫學訓練至今，尚未有研究針對訓練醫院的臨床導師其輔導技能及輔導諮詢住院醫師的經驗做完整的評價。本研究目的為評估47位資深醫師（導師）在接受一「導師研習訓練」課程之前後，對於輔導住院醫師的目標、態度、輔導溝通技巧等問題前後的改變。結果顯示參加訓練的資深醫師在導師角色、態度、與受輔導的住院醫師問題等認識上比接受「導師研習訓練」前較正向，但在輔導技巧的認識與信心在接受訓練前後並無顯著改變。由此顯示「導師研習訓練營」仍有持續辦理的必要，並且能夠著重輔導諮商技巧的實地訓練，並且追蹤其後續成效。

關鍵字

臨床導師 ； 畢業後一般醫學訓練 ； 輔導 ； 諮商技巧

並列摘要

Counseling for young doctors is an important task and it is a vital part of the support provided to help personal development and problem solving among this group. To date, however, there has been no research reports in Taiwan about counseling and related topics directed at doctors in their postgraduate medical year (PGY). This study aimed to evaluate the perception of counselors, in terms of knowledge and attitude towards counseling of PGY trainees, before and after a training course. Altogether, forty seven counselors (senior doctors), who took part in a specific training course, were surveyed with the same questionnaire before and after training, in order to assess their goals, attitudes, skills and experiences with respect to counseling. After the training, the counselors were positive towards the course and said that they had benefited from the training in terms of their role and attitude as future counselors; they believed that they would now have a better attitude and understanding towards the problems of the trainees. There was no significant breakthrough in terms of their counseling skills competency when the situations before and after training were compared. This study suggested that skills training and practice are essential and should be integrated into any future counseling training program.

並列關鍵字

counselor ； postgraduate medical year ； PGY ； counseling ； skills

參考文獻

Buddeberg-Fischer B,Klaghofer R,Stamm M(2008).Work stress and reduced health in young physicians: prospective evidence from Swiss residents.Int Arch Occup Environ Health.82,31-38.

Chew CH,Chee YC(2005).Postgraduate medical education and specialist training in Singapore.Ann Acad Med Singapore.34,182-189.

Crowley AE(1984).Residency positions. Are there enough?.JAMA.252,3386-3389.

Jackson VA,Palepu A,Szalacha L(2003)."Having the right chemistry": a qualitative study of mentoring in academic medicine.Acad Med.78,328-334.

Kasi PM,Khawar T,Khan FH(2007).Studying the association between postgraduate trainees' work hours, stress and the use of maladaptive coping strategies.J Ayub Med Coll Abbottabad.19,37-41.