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整体外科住院计划中的健康差异课程:批判性范围审查
Taylor M Carter1, M Libby Weaver2, Emily Gilbert3
1Office of Surgical Education, Department of Surgery, University of Utah School of Medicine, Salt Lake City, Utah; Department of Surgery, University of North Carolina School of Medicine, Chapel Hill, North Carolina.
The Journal of surgical research
|June 28, 2024
概括
一般外科住院计划越来越多地纳入健康差异教育. 然而,目前的课程在很大程度上依赖于文化框架,仅限于对健康的社会决定因素 (SDOH) 的关注.
科学领域:
- 医学教育 医学教育
- 公共卫生 公共卫生
- 进行外科手术培训.
背景情况:
- 健康的结构性决定因素 (SDOH) 现在是医学院毕业生教育认证委员会的一部分.
- 整体外科住院计划必须整合健康差异教育.
- 了解居民如何了解健康差异和SDOH至关重要.
研究的目的:
- 探索一般外科医生目前的健康差异课程中的范围和概念.
- 调查一般外科住院医生如何接受健康差异和SDOH的教育.
主要方法:
- 在PubMed,EMBASE,教育研究综合和Web of Science核心收藏中进行系统的文献搜索.
- 包括2005年以后发表的关于一般外科住院计划的健康差异课程的研究.
- 对5317篇选文章的数据提取和分析进行批判性审查方法.
主要成果:
- 十七篇文章确定了七个独特的健康差异课程.
- 所有课程都使用文化框架;只有三个包括SDOH教育 (2011年后出版).
- 面对面的教学是最常见的教育方法.
结论:
- 文化框架仍然是一般外科医生健康差异培训的核心.
- 需要对未发表的课程进行进一步的研究.
- 居民需要社会政治视角来理解SDOH,并有效地为所有患者服务.
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