練習の準備ができている. 若い医師の専門教育に対する見解
関連する実験動画
J C Cantor1, L C Baker, R G Hughes
1Robert Wood Johnson Foundation, Princeton, NJ 08543-2316.
JAMA
|September 1, 1993
まとめ
若き医師は,医療訓練が全体的に十分な準備をしてくれていると感じていますが,特定のスキル,特に診療所の管理は改善が必要です. マネージドケアなどの非病院での研修を希望する人も多い.
科学分野:
- 医学教育研究 医学教育研究
- 医者の研修についてです.
- ヘルスケア・ワークフォース・開発
背景:
- 現代の医療訓練における不十分な認識に関する多くの批判が存在します.
- 訓練の有効性に関する若い医師の見解は,改善すべき分野を特定するために不可欠です.
研究 の 目的:
- 若い医師 (45歳未満) の医学教育の特定の構成要素の適切性に関する見解を評価する.
- 最近の卒業生によって不十分であると認識されている医療訓練の特定の分野を特定する.
主な方法:
- 4756人の医師 (アロパシーとオステオパシー) の調査データの分析.
- 医科学校の種類,専門分野,および人口統計データによるデータの階層化.
- 総合的な研修に対する満足度,診療の準備,患者タイプ,研修環境の評価.
主要な成果:
- 若い医師の80%は,その訓練が一般医療の実践に適していると判断した.
- 特定の状況への準備 (21-78%) と実践管理 (3%) は低い評価を受けました.
- 大半は,非病院環境 (例えば,マネージドケア) での研修を増やすことを望んでいた.
- 一般医療/家族医療の研修生は,内科の研修生よりも,よりよい準備ができていると報告した.
結論:
- 若い医師のフィードバックは,医療訓練に対する既存の批判と一致しています.
- 医療改革は,医療教育の改善を緊急に必要とし,認識されたギャップを補う必要があります.
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