总结性委托决策是否真的导致委托?
Vigfús Sigurdsson1, Olle Ten Cate2
1Department of Dermatology and Allergology, University Medical Center Utrecht, Utrecht, The Netherlands.
The clinical teacher
|October 10, 2023
概括
可信任的专业活动 (EPA) 一般增加了荷兰皮肤病学课程的居民自主权. 然而,一些居民仍然需要监督,特别是在学术医疗中心.
科学领域:
- 医学教育 医学教育
- 专业发展专业发展
- 医疗保健系统 医疗保健系统
背景情况:
- 值得信赖的专业活动 (EPA) 于2017-2019年在荷兰的研究生课程中实施.
- 该研究调查了在EPA的总体委托后,居民是否获得了更大的临床责任.
研究的目的:
- 评估EPAs对皮肤病学居民自主性的影响.
- 确定在EPA委托后给予居民增加临床责任的程度.
主要方法:
- 一项调查研究涉及荷兰皮肤病学住院医生和项目主任 (PD).
- 使用的假设临床病例与早期EPA (简单皮肤病问题) 相一致.
- 对监管要求的评估居民和PD观点.
主要成果:
- 大多数居民 (65%) 和PD (63%) 同意,有能力的居民可以在没有监督的情况下进行EPA,特别是在GP转诊方面.
- 在大学医疗中心的4级居民中,很少有 (36%) 报告说需要监督.
- 对第二意见的监督要求显示出相反的趋势.
结论:
- 在荷兰皮肤病学中,EPA和委托程序的引入总体上促进了预期的居民自治.
- 调查结果表明,EPAs在促进独立性方面得到了成功实施,在学术环境中也有细微差别.
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