基于系统的实践:专家对模糊能力的起源和演变的观点
概括
医疗教育中的基于系统的实践 (SBP) 具有历史上的模两可. 专家采访揭示了SBP的情况.
科学领域:
- 医疗教育 医学教育
- 研究生医学教育研究生医学教育
- 医疗保健系统 医疗保健系统
背景情况:
- 自1999年以来,基于系统的实践 (SBP) 是美国医学研究生教育的核心能力.
- 概念上的模糊性阻碍了SBP在居住计划中的运作.
- 了解SBP的历史发展对于其有效实施至关重要.
研究的目的:
- 探索SBP能力的历史起源和发展.
- 收集SBP实施和演变中的有影响力的个人的见解.
- 通过历史专家的视角来告知SBP的当前构造.
主要方法:
- 与SBP的24名医生,护士,教育工作者和领导者进行了半结构化访谈 (2021年3月至7月).
- 根据他们对SBP能力的起源或演变的影响来选择参与者.
- 采用主题分析与代数据收集,分析备忘录和裁决会议.
主要成果:
- 确定了关于SBP的五个关键主题.
- SBP拥有多种不同的定义,并被故意设计成一些模糊.
- 系统思维是SBP的基础;它与其他核心能力相互依赖,特别是基于实践的学习和改进.
结论:
- SBP是一个细微而复杂的能力,利益相关者之间缺乏共享的理解.
- 专家观点的历史审查为改善SBP教育和学习提供了洞察力.
- 解决SBP的模糊性和相互依赖性是提高其教学和应用的关键.
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