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纵向综合基础培训的影响:英国的初步经验

Kathryn E Burnett¹, Suzanne Gawne², James Barrett³

¹NHS Organisational Consultancy; Hosted Business Services (SH0142), Salford Royal NHS Foundation Trust, Part of the Northern Care Alliance, Hope Building, Stott Lane, Salford, M6 8HD, UK. Kate.Burnett@nca.nhs.uk.

BMC medical education

|November 17, 2023

概括

纵向综合基础培训 (LIFT) 试点改进了医生培训,增强了以患者为中心的护理和保留. LIFT医生对综合护理的理解更强,同情心更强,更多的医生打算从事全科医疗.

科学领域:

医学教育医学教育
医疗保健提供医疗保健提供
医生保留时间医生保留时间

背景情况:

英国卫生系统面临的挑战是保持医生的基础后培训.
改善基础培训经验可能会提高医生保留率.
纵向综合基础培训 (LIFT) 试点旨在提高培训质量,以患者为中心的护理和初级保健接触.

研究的目的:

评估LIFT试点计划对医生培训经验的影响.
将LIFT医生的经验与传统基础培训中的经验进行比较.
评估LIFT对以患者为中心的护理,福祉和职业意图的影响.

主要方法:

霍鲁斯电子投资组合对良好的医疗实践 (T-test) 的六个领域的评估.
在线调查评估 (2-tailed chi-square测试). 在线调查评估 (2-tailed chi-square测试).
焦点小组反会议 (主题分析).

主要成果:

虽然LIFT医生在所有六个良好的医疗实践领域的平均得分都较高,但并不显著.
100%的LIFT医生理解初级/中等保健整合,而传统医生的78.7% (p<0.05).
提升医生报告了改善的福祉,更高的同情心 (100%对86.8%;p<0.05),和更大的兴趣在一般实践 (23.1%对13.5%;p<0.05).

结论:

LIFT计划提高了基础培训质量,医生的经验和能力.
LIFT原则培养了更加富有同情心,以患者为中心的医生,改善了个性化的患者护理.
LIFT试点项目为英国未来的医学教育和医疗保健提供提供了宝贵的见解.

关键词:

医生医生医生基金会计划基金会计划一般的做法一般的做法.纵向综合基础培训纵向综合基础培训

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