在培训中探索暴露于初级保健职业的模型:叙事审查
D Rani Nandiwada1, Amy H Farkas2, Tanya Nikiforova3
1Perelman School of Medicine, University of Pennsylvania, 51 North 39Th Street, MAB 102, Philadelphia, PA, 19104, USA.
Journal of general internal medicine
|November 21, 2023
概括
通过各种教育模式,通过早期和积极的方式让医疗学员接触到初级保健,对于构建强大的未来初级保健工作人员至关重要. 本综述考察了本科和研究生医学教育中的不同方法.
科学领域:
- 医学教育 医学教育
- 初级保健 劳动力发展
- 医疗保健培训模型 医疗保健培训模型
背景情况:
- 在医疗培训期间没有足够的暴露的情况下,维持初级保健工作人员是具有挑战性的.
- 目前的本科医学教育 (UME) 和研究生医学教育 (GME) 课程使用不同的临床初级保健暴露模型.
- 积极的早期接触是初级保健职业的关键推动者.
研究的目的:
- 审查基于证据的UME和GME初级保健临床暴露模型.
- 分析这些模型与促进初级保健职业的因素的对齐.
- 确定各种初级保健培训模式的优缺点.
主要方法:
- 关于初级保健临床暴露模型的现有文献的叙述性综述.
- 在本科医学教育 (UME) 中分析模型:纵向综合职务,初级保健轨道和职务.
- 检查研究生医学教育 (GME) 中的模型:初级保健轨道,区域健康教育中心,区块安排和连续性诊所.
主要成果:
- 各种UME模式,如纵向综合职工,可以促进积极的初级保健观念.
- 包括连续性诊所和初级保健轨道在内的GME模型显示了提高员工承诺的潜力.
- 每个模型的有效性各不相同,强调了有意设计的必要性.
结论:
- 教师应该考虑各种各样的模式,以创造积极的初级保健体验.
- 培训计划的有意开发对于培养对初级保健的积极看法至关重要.
- 优化临床暴露模型对于初级保健工作人员的未来可持续性至关重要.
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