在临床学习环境中,让GME学习者参与与卫生系统相关的改进工作
Glenn Rosenbluth1,2, Lei W Choi3,4, Christy K Boscardin3,5,6
1Department of Pediatrics, University of California, San Francisco, CA.
概括
居民和研究员领导专业间持续改进团队计划成功地让成千上万的实习生参与了改善卫生系统的项目. 这一举措促进了共生关系,使实习生和卫生系统都受益.
科学领域:
- 医学教育 医学教育
- 医疗保健管理的管理
- 提高质量 提高质量
背景情况:
- 研究生医学教育 (GME) 与卫生系统优先事项之间的协调对于培训员参与改善临床学习环境至关重要.
- 培训人员参与卫生系统改进工作的障碍 需要结构化的计划.
研究的目的:
- 描述住院生和研究员在UCSF领导专业间持续改进团队计划的结构和影响.
- 评估GME与卫生系统合作伙伴关系在培养实习生领导的改进项目的有效性.
主要方法:
- 实习项目冠军参加了关于改进方法的研讨会,并制定了项目建议.
- 项目得到了教师导师的支持,并得到了GME和卫生系统领导人的批准.
- 实习团队通过视觉管理和领导轮分享进展情况,为成功的项目提供适度的财务激励.
主要成果:
- 超过300个项目由来自58个项目成千上万的实习生实施.
- 大约75%的改进目标得到了实现.
- 所有项目都有意义地参与了实习生,许多人继续毕业后.
结论:
- 该计划促进了共生关系,为学员提供教育和支持,同时使卫生系统受益.
- 这种GME-健康系统伙伴关系表明了持续的增长和更广泛实施的潜力.
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