准确医学教育:在整个培训过程中描述个别住院医生的临床经验
Carolyn B Drake1, David W Rhee2, Neha Panigrahy3
1Division of Hospital Medicine, Department of Medicine, Internal Medicine Residency Program, NYU Grossman School of Medicine, New York, New York, USA.
Journal of hospital medicine
|August 5, 2024
概括
内部医疗的住院医生.
科学领域:
- 医学教育 医学教育
- 内部医学培训培训 内部医学培训
- 临床经验表征临床经验表征
背景情况:
- 经验式学习在住院中至关重要,但住院临床经验的理解很差.
- 了解居民体验的类型,数量和变化是精确医学教育的关键.
研究的目的:
- 综合描述内科医生在培训期间的临床经验.
主要方法:
- 在纽约大学格罗斯曼医学院 (2020-2023) 评估了51名内科住院医生的培训.
- 通过笔记,订单和登录来识别住院和门诊的体验.
- 使用横行工具将主要的ICD-10代码映射到医疗内容类别中.
主要成果:
- 在152,426次接触中,有132,284次被划分为医学内容类别.
- 居民有广泛的传染病和心血管疾病暴露.
- 对过敏,皮肤病学,瘤学和风湿病学的接触有限,在学员之间存在显著差异.
结论:
- 个别居民的临床经验在类型和体积上有很大差异.
- 这些经验的特征使得对教育成果的研究和精确教育策略的开发成为可能.
- 精准教育可以通过有针对性的干预来解决经验差距,并利用居民的优势.
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