整体外科のレジデントのための健康平等のカリキュラムを統合する:混合方法の研究
Ariana Naaseh1, Tiffany K Brocke1, Oluseye K Oduyale1
1Department of Surgery, Washington University, St. Louis School of Medicine, St. Louis, Missouri.
Journal of surgical education
|September 2, 2025
まとめ
整体外科の住人のための新しい健康平等のカリキュラムは実現可能で 実践的なスキルで彼らを力づけます 地域ニーズに合わせた教育と システム上の圧力への対処は 効果的な健康平等訓練の鍵です
科学分野:
- 医学教育
- 手術 の 訓練
- 健康に関する公平性
背景:
- 広く受け入れられている 医療の公平性に関するカリキュラムは 整体外科のレジデントにはありません
- 大人の学習の理論と地元の公衆衛生の優先順位を用いてカリキュラムが開発されました.
- カリキュラムには,病変と死亡に関する会議,専門家間パネル,ケースベースの議論が含まれていました.
研究 の 目的:
- 整合医療の公平性に関するカリキュラムが 整体外科のレジデントに与える影響を評価する.
- 住人の経験とカリキュラムが 診療所と患者とのやり取りに与える影響を評価する
主な方法:
- セッション後の調査とフォーカスグループが 住民参加者と実施された.
- オープンな質問で 住民の経験とカリキュラムの影響を調べました
- フォーカスグループのトランスクリプトは2人の独立した研究者が誘導的にコード化しました.
主要な成果:
- 制度的コミットメントは住民の自己反省と議論を助長しました.
- 住民は 公平なケアを妨げている システム上の圧力により 道徳的苦痛を経験しました
- 実践的な応用やコミュニティに合わせたコンテンツが 最も効果的だったのは,特に関わりが少ない住民たちでした.
結論:
- 整体外科のリジデントに 医療平等のカリキュラムを 導入することは可能なのです
- 臨床的適用性と個人的な反省を高めるために,特に反人種主義のような繊細なテーマについて,さらなる研究が必要である.
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