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臨床実務への準備:学術保健センターの卒業入院者の報告
D Blumenthal1, M Gokhale, E G Campbell
1Institute for Health Policy, Massachusetts General Hospital, 50 Staniford St, 9th Floor, Suite 901, Boston, MA 02114, USA. dblumenthal@partners.org
JAMA
|September 18, 2001
まとめ
レジデントは一般的に臨床実務に備えていると感じますが,10%以上が特定のスキルのギャップを報告しています. この研究は,総合的な居住者準備を確保するために,大学院医学教育を改善すべき分野を強調しています.
科学分野:
- 医療教育 医療教育について
- 医科大学院医学教育について
- 臨床能力評価の臨床能力評価について
背景:
- 医療教育者は,住人の臨床的能力を評価するためのより良い方法を模索しています.
- 準備の評価は,効果的な大学院医学教育に不可欠です.
研究 の 目的:
- 研修の最終年における一般的な臨床サービスに対する居住者の自己認識の準備度を評価する.
- 住民が準備ができていないと感じている特定の地域を特定します.
主な方法:
- 米国の学術保健センターの8つの専門分野で2626人の住民を対象とした全国的な調査.
- 臨床的および非臨床的課題に対する居住者の準備度に関するデータを収集した.
主要な成果:
- ほとんどの住人は,自分の専門分野における一般的な状況に備えて準備ができていると感じました.
- 各専門科の住人の10%以上は,特定の作業 (例えば,HIV/AIDSケア,脊髄外科,慢性疼痛管理) の準備が出来ていないと報告しました.
結論:
- 研修の最終年のレジデントは,高い臨床的準備ができていると報告しています.
- 様々な臨床実務のニーズに対する居住者の準備を強化する機会が存在します.
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