最后的电话:对一天中被忽视的小时的思考
1University of Wisconsin Department of Family Medicine and Community Health, Madison, Wisconsin jon.temte@fammed.wisc.edu.
Annals of family medicine
|September 25, 2023
概括
这个反思详细介绍了30年的学术家庭医生夜间诊断. 它强调了在"被忽视的时间",家庭医学的消失的方面,关键的,亲密的病人护理.
科学领域:
- 家庭医学 家庭医学 家庭医学
- 医学教育 医学教育
- 医生福利 医生福利
背景情况:
- 夜勤是医生培训和实践的传统组成部分.
- 夜间调用的要求可能会影响医生的福祉和工作与生活的平衡.
- 随着医疗保健系统的变化,夜间呼叫的性质正在演变.
研究的目的:
- 为了反思30年来在学术家庭医学中进行夜间调诊的个人和专业经验.
- 探索夜间呼叫在患者护理和医生发展中的意义.
- 为了记录家庭医学中夜间调诊的日渐消失的传统.
主要方法:
- 基于30年个人经验的定性反思.
- 在夜班期间对患者互动的叙事分析.
- 探讨医生的旅程,通过医疗系统的探索.
主要成果:
- 夜间调用为亲密的患者护理和学习提供了独特的机会.
- 在夜间调诊期间与住院医生的互动是形成性的.
- 夜间调诊的经历与患者的故事和医生的个人叙述深深地交织在一起.
结论:
- 夜间调诊是家庭医学的一个重要方面,尽管它正在消失.
- 夜间调诊期间的经历对医生的身份和技能有很大的贡献.
- 对于未来的家庭医生来说,保留从夜间检查中学到的教训至关重要.
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