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A Pilot Study to Address Tolerance of Uncertainty Among Family Medicine Residents

机译：解决家庭医学居民不确定性容忍问题的初步研究

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Background and Objectives: Because patients often present to their family physicians with undifferentiated medical problems, uncertainty is common. Family medicine residents must manage both the ambiguity inherent in the field as well as the very real uncertainty of learning to become a skilled physician with little experience to serve as a guide. The purpose of this analysis was to assess the impact of a new curriculum on family medicine residents’ tolerance of ambiguity.Methods: We conducted an exploratory quasi-experimental study to assess the impact of a novel curriculum designed to improve family medicine residents’ tolerance of ambiguity. Four different surveys were administered to 25 family medicine residents at different stages in their training prior to and immediately and 6 months after the new curriculum.Results: Although many constructs remained unchanged with the intervention, one important construct, namely perceived threats of ambiguity, showed significant and sustained improvement relative to before undertaking this curriculum (score of 26.2 prior to the intervention, 22.1 immediately after, and 22.0 6 months after the intervention).Conclusions: A new curriculum designed to improve tolerance to ambiguity appears to reduce the perceived threats of ambiguity in this small exploratory study.
机译：背景与目的：由于患者经常会向家庭医生提出未分化的医疗问题，因此不确定性很普遍。家庭医学居民必须管理该领域内在的含混性以及学习成为一名经验很少的熟练医师的真正不确定性，以作为指导。该分析的目的是评估新课程对家庭医学居民的歧义耐受性的影响。方法：我们进行了探索性的实验研究，以评估旨在提高家庭医学居民对歧义性耐受性的新课程的影响。模棱两可。在新课程开始之前，之后和之后的6个月，分别对25位家庭医学住院医师在培训的不同阶段进行了四项不同的调查。结果：尽管干预措施中的许多构成保持不变，但其中一项重要的构成即感知的歧义威胁显示出与实施本课程之前相比有显着和持续的改善（干预前得分为26.2，干预后立即得分为22.1，干预后6个月得分为22.0）。结论：旨在提高对歧义性的容忍度的新课程似乎减少了感知到的威胁。在这个小的探索性研究中存在歧义。

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