医学职业生涯的轨迹:关于拟议的模型的观点
1Professor and Chairman, Education Institute, Cleveland Clinic, Cleveland, Ohio, USA STOLLEJ@ccf.org.
BMJ leader
|June 21, 2023
概括
本研究提出了医生职业发展轨迹的两阶段模型,从线性学习阶段移动到非线性探索阶段. 早期培训应包括正念,为医生准备职业灵活性.
科学领域:
- 医学教育 医学教育
- 专业发展专业发展
- 职业发展轨迹 职业发展轨迹
背景情况:
- 医生职业生涯提供了超越临床实践的多样化的途径.
- 一个结构化的模型可以阐明医疗事业的一般进展.
- 当前的模式可能无法完全解决从结构化培训向独立实践的过渡.
研究的目的:
- 为医生职业发展提出一种新的两阶段模型.
- 分析医生职业生涯的线性和非线性阶段.
- 识别职业阶段之间过渡的潜在挑战,并建议培训影响.
主要方法:
- 个人反思和与同事的讨论构成了模型的基础.
- 该模型是从以美国为中心的角度开发的.
- 该模型区分了线性培训阶段和随后的非线性职业生涯阶段.
主要成果:
- 医生职业发展轨迹的特点是最初的线性阶段 (医学院和医学研究生教育),其次是非线性阶段.
- 在线性阶段的掌握包括获得知识,技能和达到里程碑.
- 对线性阶段的强烈关注可能无意中阻碍了对非线性阶段至关重要的自主学习.
结论:
- 拟议的模型突出了早期培训与后来职业探索的不同需求.
- 建议将正念和职业模式纳入早期医生培训,以形成专业身份.
- 需要进一步验证,以评估该模型在国际医学培训环境中的通用性.
相关概念视频
Models of Health Promotion and Illness Prevention II
1.6K
The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results...
The agent-host-environment model states that disease results...
1.6K
Models of Health Promotion and Illness Prevention I
2.1K
A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
2.1K
Three-Compartment Open Model
289
The three-compartment open model is a pharmacokinetic model used to describe the distribution and elimination of drugs following extravascular administration. It comprises a central compartment representing the plasma and two peripheral compartments. The highly perfused peripheral compartment represents organs and tissues with a rich blood supply, such as the liver, kidneys, and lungs. The scarcely perfused peripheral compartment represents tissues with lower blood supply, such as adipose...
289
Tumor Progression
6.4K
Tumor progression is a phenomenon where the pre-formed tumor acquires successive mutations to become clinically more aggressive and malignant. In the 1950s, Foulds first described the stepwise progression of cancer cells through successive stages.
Colon cancer is one of the best-documented examples of tumor progression. Early mutation in the APC gene in colon cells causes a small growth on the colon wall called a polyp. With time, this polyp grows into a benign, pre-cancerous tumor. Further...
Colon cancer is one of the best-documented examples of tumor progression. Early mutation in the APC gene in colon cells causes a small growth on the colon wall called a polyp. With time, this polyp grows into a benign, pre-cancerous tumor. Further...
6.4K
Methods of Documentation VI: Case Management Model
600
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
600
Pharmacokinetic Models: Overview
813
Pharmacokinetic models utilize mathematical analysis to achieve a detailed quantitative understanding of a drug's life cycle within the body. They are instrumental in simulating a drug's pharmacokinetic parameters, predicting drug concentrations over time, optimizing dosage regimens, linking concentrations with pharmacologic activity, and estimating potential toxicity.
There are three primary types of models: empirical, compartment, and physiological. Empirical models, with minimal...
There are three primary types of models: empirical, compartment, and physiological. Empirical models, with minimal...
813


