在初级保健中近同行监督:将教学团队从病房带到诊所
Katherine L Chen1, Stanley E Yuan2, Elizabeth K Asfaw3
1is Clinical Instructor and Postdoctoral Fellow, Division of General Internal Medicine & Health Services Research, David Geffen School of Medicine, University of California, Los Angeles (UCLA).
门诊近同行教学,初级保健教学 (PC教学),改善了居民对教学的信心. 这种新的计划是可行的和可以接受的,提高了未来医学教育工作者的技能.
科学领域:
- 医学教育 医学教育
- 内部医学实习生培训 内部医学实习生培训
背景情况:
- 接近同行教学为住院人员提供了好处,但通常仅限于医院环境.
- 门诊近同行教学的教育潜力仍然未被充分探索.
研究的目的:
- 引入和评估初级护理教学 (PC Teach),这是一个门诊近同行教学计划,用于内科住院医生.
- 评估可行性,可接受性和对居民信心和对教学和初级保健的态度的影响.
主要方法:
- 在一个大型城市项目中,研究生三年级 (PGY-3) 居民作为近同行教师参加了PC Teach课程.
- 来自非参与诊所的PGY-3住院的对照组也接受了教学培训.
- 干预前后的调查评估了自我报告的信心和态度的变化.
主要成果:
- 与对照组相比,干预患者对门诊教学的信心显著增加.
- 在干预组中,对教学的态度也得到了显著的改善.
- 两组之间对初级保健/门诊医疗的态度变化没有显著差异.
结论:
- 初级保健教学 (PC Teach) 计划是门诊近同行教学的一个可行和可接受的模型.
- 参与PC Teach与居民对自己在门诊环境中教学能力的信心增强有关.
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