月光的困境. 月光的困境. 平衡教育,服务和优质护理,同时限制风险暴露
1Office of Graduate Medical Education, University of Massachusetts Medical Center, Worcester 01655.
JAMA
|July 28, 1989
概括
医疗住院人员的医疗住院人员
科学领域:
- 医学教育 医学教育
- 研究生医学教育研究生医学教育
- 医生培训 医生培训 医生培训
背景情况:
- 由于工作时间规定和医院责任问题,医疗人员的月光 (在外就业) 是有争议的.
- 居民从事月光工作,以获得经济利益 (学生贷款偿还,生活水平提高) 和额外的临床经验.
- 社区医院依靠居民月光灯来提供基本的急诊室和步行中心覆盖.
研究的目的:
- 为了解决围绕医疗住院月光工作的多方面的担忧.
- 介绍马萨诸塞大学医学中心开发的一种独特的方法,用于管理非就业居民.
主要方法:
- 制定全面的扩展就业指南.
- 建立一个详细的数据库来跟踪月光活动的数量.
主要成果:
- 制定的指导方针旨在平衡居民需求,教育目标和医院运营要求.
- 该数据库提供了对居民月光照明的范围和模式的见解.
结论:
- 对管理居民月光的结构化方法可以减轻风险并支持居民,教学医院和社区医疗保健需求.
- 马萨诸塞大学医学中心的模型为面临类似挑战的其他机构提供了一个框架.
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