在美国的脏病学计划领导层中,为计划管理提供保护时间
Christina M Yuan1, Brian Y Young2, Maura A Watson1
1Nephrology Service, Department of Medicine, Walter Reed National Military Medical Center, Bethesda, Maryland.
Clinical journal of the American Society of Nephrology : CJASN
|January 8, 2024
概括
医学研究生教育认证委员会减少了脏病学课程主任和核心教师的受保护时间,可能会增加倦怠. 项目负责人报告说,他们需要的行政时间比新的ACGME要求允许的要多.
科学领域:
- 医学教育 医学教育
- 病学奖学金培训 病学奖学金
- 研究生医学教育行政管理.
背景情况:
- 研究生医学教育认证委员会在2022年将管理的最低项目主任保护时间从10小时减少到每周8小时.
- 在减少受保护时间的同时,没有建立核心教师要求.
研究的目的:
- 调查美国成人脏病学课程领导人,以了解减少受保护的行政时间和缺少核心教师要求的影响.
- 评估受保护时间的充分性,并估计计划管理所需的时间.
- 评估项目主任,副项目主任 (APD) 和核心教师的倦怠程度.
主要方法:
- 一项匿名在线调查于2023年3月向所有美国成人脏病学项目主任分发.
- 项目主管将调查转发给他们的核心教师和APD.
- 调查采集了保护时间,时间充足度,估计需求和使用验证措施的燃烧情况的数据.
主要成果:
- 42%的项目>6个奖学员没有满足减少的最低保护时间要求.
- 只有37%的节目导演认为他们的受保护时间足够.
- APD和核心教师报告保护时间较低 (分别为3±3小时/周和2±3小时/周),APD的42%和核心教师的50%没有任何保护时间.
- 高水平的情绪疲报告了25%的项目主管,34%的APD和21%的核心教师.
结论:
- 项目领导人估计,最低必要的项目管理时间超过了目前的医学研究生教育认证委员会的要求.
- 副项目主任和核心教师在非临床培训活动中做出了重大贡献.
- 很大一部分APD (34%) 和节目主任 (25%) 显示出很高的燃烧的可能性.
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