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関連する概念動画

Clinical Applications of Epidermal Stem Cells01:19

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Epidermal stem cells (EpiSCs) are mainly located at the basal layer of the epidermis. These cells repair minor injuries of the skin and replace dead skin cells. However, EpiSCs’ cannot heal severe wounds such as major burns or those from diabetes or hereditary disorders. In such cases, culturing the epidermal stem cells from the patient is possible and has yielded successful treatment options, such as laboratory-grown skin grafts. These grafts are synthesized using a patient’s own...
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Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

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Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
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Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

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Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
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Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

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Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
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Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation01:30

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Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
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Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

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Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
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臨床情報学フェローシッププログラムを評価するためのピープル、プロセス、テクノロジー：フレームワーク

Jared Silberlust1, Priyanka Solanki1, Jonathan Austrian1

  • 1MCIT Department of Health Informatics, NYU Langone Health, New York, NY 10016, United States.

JAMIA open
|January 27, 2026
PubMed
まとめ

新しいピープル、プロセス、テクノロジー（PPT）フレームワークは、臨床情報学フェローシップの比較を支援します。このモデルは、申請者の目標との連携を改善するために、プログラムの説明を標準化することにより、申請プロセスを強化します。

キーワード:
Clinical Informatics FellowshipGraduate Medical EducationPeople Process Technology

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科学分野:

  • ヘルスインフォマティクス
  • 医学教育
  • 組織論

背景:

  • 臨床情報学フェローシッププログラムは、将来のリーダーを育成するために不可欠です。
  • これらのプログラムの評価と比較は、説明のばらつきのために課題を提示します。
  • プログラム情報を標準化するために構造化されたアプローチが必要です。

研究 の 目的:

  • 臨床情報学フェローシッププログラムを評価するための構造化されたフレームワークを提案および適用すること。
  • ピープル、プロセス、テクノロジー（PPT）モデルを使用してプログラムを比較すること。
  • フェローシップ申請者の目標とプログラムの提供との連携を強化すること。

主な方法:

  • Leavittの組織理論を適応させて、3つの柱（ピープル、プロセス、テクノロジー）のフレームワークを作成しました。
  • フェローシップの申請者とディレクターに関連する特徴でフレームワークを操作化しました。
  • 18のランダムにサンプリングされたフェローシッププログラムのウェブサイトを分析するためにフレームワークを適用しました。

主要な成果:

  • PPTフレームワークは、フェローシップの特性をピープル（メンターシップ、多様性）、プロセス（職務、研究）、テクノロジー（EHR、トレーニング）に分類します。
  • 視覚的なグリッドは、運用上の焦点と研究上の焦点、およびメンターシップのレベルのバリエーションを示しました。
  • ウェブサイトの分析により、プログラムの説明における一貫性のない透明性と詳細が示されました。

結論:

  • PPTフレームワークは、申請者がプログラムの適合性を評価するための体系的でアクセス可能な方法を提供します。
  • これにより、フェローシッププログラムは独自の強みを効果的に伝えることができます。
  • PPTモデルを介した説明の標準化は、申請プロセスとトレーニング体験を改善できます。