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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.

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概括
此摘要是机器生成的。

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.

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复杂的健康健康的复杂性.诊断的推理 诊断的推理医疗错误是一个医疗错误.系统改变,系统改变.

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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.