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面对不确定性的领先的研究生医学教育
Matthew Bradley1, Brian Reamy2
1General Surgery Program Director, Uniformed Services University/Walter Reed National Military Medical Center, Bethesda, MD 20889, USA.
通过不确定性领导一个外科住院项目主任,包括COVID-19大流行和系统变化,在军事卫生系统中提出了重大领导挑战和医疗保健工作者短缺.
科学领域:
- 医疗保健领导力 医疗保健领导力
- 外科住院计划外科住院计划
- 军事医学 军事医学
背景情况:
- 军事卫生系统 (MHS) 面临着前所未有的挑战.
- 由于COVID-19大流行,阿富汗撤军和EMR实施,造成了严重的医疗保健工作人员短缺.
- 这些因素为医疗保健领导创造了复杂的环境.
研究的目的:
- 描述一个外科住院项目主任所面临的领导挑战.
- 分析系统性不确定性对居住计划管理的影响.
- 提供关于在军事医疗保健环境中在危机期间领导的见解.
主要方法:
- 案例研究方法.
- 领导经验的定性分析.
- 在指定期间对计划运行的回顾性审查.
主要成果:
- 对居民教育和临床运营造成重大干扰.
- 增加了教师和工作人员的工作量和压力.
- 适应策略是保持程序功能所必需的.
结论:
- 在不确定性时期的领导力需要性,适应能力和战略规划.
- 医疗卫生部必须制定强有力的战略,以缓解危机期间的劳动力短缺.
- 有效的领导力对于在充满挑战的时代维持医学教育和患者护理至关重要.
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