综合内科-儿科住院实习生对X+Y安排的看法:质量方案评估
Dava Szalda1, Nathan R Stehouwer2, Jennifer B Walsh3
1Internal Medicine-Pediatrics, Children's Hospital of Philadelphia, Philadelphia, USA.
Cureus
|February 26, 2024
概括
X+Y安排为综合内科-儿科 (Med-Peds) 住院人员提供了更好的体验和可预测性等好处,尽管存在压缩时间和不同时间表的挑战.
科学领域:
- 医学教育 医学教育
- 住院培训 培训 住院培训
- 综合专业 综合专业 综合专业 综合专业
背景情况:
- X+Y调度是一种在医疗住院计划中使用的教育模式.
- 内科-儿科 (Med-Peds) 结合了两个不同的领域的培训.
- 了解居民对新计划的看法对于计划改进至关重要.
研究的目的:
- 探索X+Y安排对Med-Peds居民的感知优点和缺点.
- 确定使用X+Y时间表的联合住院计划的独特考虑因素.
主要方法:
- 在参与机构中与Med-Peds居民进行了五个重点小组.
- 利用从文献评论和当地经验中开发的开放式问题.
- 分析了转录的焦点小组数据,以确定关键主题和代表性报价.
主要成果:
- 福利包括改善住院/门诊体验,通过时间表可预测性增强健康,以及专注于职业探索的时间.
- 缺点包括将太多的体验凝聚在"Y"块中,并安排与分类程序的冲突.
结论:
- X+Y时间表展示了医疗教育障碍的潜在解决方案,与分类计划中看到的好处保持一致.
- 联合课程和实习生面临的独特挑战需要进一步调查.
- 建议继续评估X+Y调度对联合居民的影响.
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