相关实验视频
Updated: Jun 25, 2026

03:22
Microbiological Rapid On-Site Evaluation for Pulmonary Infectious Diseases
Published on: March 1, 2024
关于问题居民的内科住院计划主任的全国调查
1UCSF-Fresno, Medical Education Program, University Medical Center, 445 S Cedar Ave, Fresno, CA 93702, USA. dcyao@alum.mit.edu
JAMA
|September 7, 2000
概括
几乎所有的内科住院项目都会遇到问题住户,通常是由于医疗知识不足或判断力差. 诸如反和指导等干预措施是管理这些具有挑战性的实习生情况的关键.
科学领域:
- 医学教育 医学教育
- 内部医学培训培训 内部医学培训
- 住院医生发展计划
背景情况:
- 内科住院要求很高,导致学员的专业和个人困难.
- 一个问题居民需要权威人物的干预,但关于其识别和管理的数据有限.
研究的目的:
- 调查美国内部医学计划中问题居民的流行,识别,管理和预防策略.
主要方法:
- 1999年10月,一项邮寄调查被发送给404名美国内科住院医生项目主任.
- 298名项目主管 (74%的响应率) 提供了有关问题居民的数据.
主要成果:
- 问题居民的平均患病率为6.9%,其中94%的项目报告至少有一个.
- 常见的问题包括医疗知识不足 (48%),临床判断力差 (44%) 和时间管理 (44%).
- 压力因素 (42%) 和抑郁 (24%) 是常见的潜在原因;直接观察 (82%) 是主要的识别方法.
结论:
- 问题居民在内部医学计划中普遍存在,存在各种挑战.
- 项目主管认为,一些具体的干预措施,如反和指导,是最有帮助的.
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