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研究生医学教育中的虚拟监督:系统性审查
Chaerim Kang1, Christopher J Shin2, Ji Yun Han3
1is a Student, Program in Liberal Medical Education, Brown University, Providence, Rhode Island, USA.
Journal of graduate medical education
|August 16, 2024
概括
研究生医学教育 (GME) 的虚拟监督在各专业都显示出有前途,尽管技术挑战会影响培训. 患者满意度仍然很高,但实习生和监督员的经验有不同的结果.
科学领域:
- 医学教育 医学教育
- 远程医疗远程医疗
- 医疗保健服务研究 医疗服务研究
背景情况:
- 远程医疗在医学培训中越来越多地被采用.
- 在研究生医学教育 (GME) 中,虚拟监督有效性的证据有限.
研究的目的:
- 系统地审查虚拟监督对实习生教育,患者护理和满意度的影响.
- 专注于医学研究生教育认证委员会 (ACGME) 认证的专业.
主要方法:
- 搜索了PubMed和EMBASE数据库 (2022年12月开始).
- 包括对ACGME专业的GME虚拟监督的同行评审文章.
- 使用混合方法评估工具 (MMAT) 评估研究质量.
主要成果:
- 26项研究符合资格标准;在手术室和住院使用虚拟监督.
- 视频会议促进了皮肤病学,神经外科,骨科的检查/手术.
- 指出了技术上的挑战;监督者/实习生的满意度不同;患者满意度高.
结论:
- 虚拟监督适用于各种GME专业和设置.
- 尽管有技术障碍,但促进了主管与学员之间的沟通.
- 需要进一步的研究来解决方法上的局限性.
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