重新思考临床推理:一个范式转变
Sandra Monteiro1,2, Amy Keuhl2, Mark Lee2
1Department of Medicine, Division of Education and Innovation, McMaster University, Hamilton, ON, Canada.
Journal of evaluation in clinical practice
|March 29, 2024
概括
医疗保健系统延续系统性偏见,导致健康不平等. 一个小小的东西.
科学领域:
- 医学教育 医学教育
- 健康 公平 卫生 公平
- 临床推理 临床推理
背景情况:
- 北美和欧洲的医疗保健系统和医疗教育历史上根植于偏见,有利于特定的人口统计.
- 这些系统偏见导致健康结果的差异和各种社区的边缘化.
- 传统的医学教育研究和实践方法延续了这些不平等.
研究的目的:
- 批判性地检查和提出临床推理的新基础.
- 解决医疗保健和医学教育中的系统偏见.
- 在临床推理实践中促进种族平等.
主要方法:
- 实施了一个"翻转"的会议模式.
- 成立了三个跨学科的写作团队 (初级/高级学者,临床医生,研究人员).
- 团队在几个月内探索了连接临床推理和种族平等的主题.
主要成果:
- 在虚拟会议上提交的论文在本期刊登.
- 另外六个出版物提供了新的证据和理论,以核心建议为基础.
- 该倡议旨在重新评估和改变临床推理基础.
结论:
- 重新思考临床推理对于拆除医疗保健中的系统偏见至关重要.
- 跨学科的合作是促进健康公平的关键.
- 这项工作为更公平的临床推理和医学教育提供了基础.
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