设定目标:在美国全方位治疗目标学校中比较家庭医学
Emmeline Ha1, Madeline Taskier1,2,3, Andrea Anderson1
1Department of Emergency Medicine, Division of Family Medicine, The George Washington University School of Medicine and Health Sciences, Washington, DC.
Family medicine
|March 20, 2024
概括
没有家庭医学部门的医学院,称为"目标"学校,展示了学生参与的各种机会. 在这些学校增加家庭医疗的存在可以改善初级保健医生的劳动力.
科学领域:
- 医学教育 医学教育
- 健康劳动力研究 卫生劳动力研究
- 初级保健研究研究初级保健研究
背景情况:
- 尽管医学院扩张,但仍然存在持续的初级保健医生短缺.
- 一些全方位医学院缺乏专门的家庭医学部门,被确定为"目标"学校.
- 在医学院中对家庭医学的结构性接触与该专业的职业选择增加有关.
研究的目的:
- 定义和描述美国全方位治疗目标学校的现状.
- 确定这些学校的家庭医学代表和机会的程度.
主要方法:
- 通过审查医学教育联络委员会 (LCME) 认可的机构来确定目标学校,以检查家庭医学部门的缺失.
- 从公共网站收集描述性数据,家庭医学匹配结果和初级保健排名.
- 分析数据以比较家庭医学代表性和目标学校的结果.
主要成果:
- 确定了12所目标学校 (占美国全方位医学院的8.7%).
- 在家庭医学参与,领导和培训机会方面观察到显著的异质性.
- 家庭医学的更大代表性与家庭医疗工作人员和初级保健机会的改善结果相关.
结论:
- 目标学校在加强家庭医学的存在方面发挥着至关重要的作用,以解决初级保健人员缺口.
- 为机构,专业和国家层面提供建议,以促进家庭医学代表性.
- 最终的目标是,所有医学院都建立一个家庭医学系.
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