开发和评估一个直接护理医院医师服务内部医学副实习生轮换
Ethan Molitch-Hou1, Irsk Anderson2, Arti Tewari3
1Section of Hospital Medicine, Department of Medicine, University of Chicago, Pritzker School of Medicine, Chicago, IL, USA. emolitchhou@uchicago.edu.
Journal of general internal medicine
|September 16, 2024
概括
直接护理医院服务 (DCHS) 提供有价值的内部医学 (IM) 副实习机会. 无论是DCHS还是居民覆盖的服务都产生了类似的满意度和准备度,未来的工作重点是紧急护理准备.
科学领域:
- 医学教育 医学教育
- 内部医学 内部医学
- 医院医师服务 医院医师服务
背景情况:
- 直接护理医院服务 (DCHS) 可以提高内部医学 (IM) 副实习轮流的可用性.
- 这些服务还为医院医生提供了更多的教学机会.
研究的目的:
- 实施和评估一个直接护理医院医生服务 (DCHS) 副实习计划.
- 将DCHS的副实习生的经验与居民覆盖服务 (RCS) 的经验进行比较.
主要方法:
- 一所城市学术医学院实施了一种学徒模式,其中1-2名IM副实习生与3名医院医生配对.
- 副实习生在白天管理患者,并在3周的白天服务和5个晚上提供夜间交叉覆盖.
- 调查评估了副实习生和医院医生的满意度和准备程度;分析了DCHS交叉覆盖呼叫数据.
主要成果:
- DCHS和RCS的副实习生报告了类似的整体满意度和准备度.
- DCHS副实习生对时间管理和呼叫咨询的评价较低,但跨度覆盖率高于RCS.
- 医院医生对他们的教学经验表示高度满意,DCHS副实习生平均每晚交叉覆盖39.4页,主要是急性症状.
结论:
- 副实习生对DCHS的副实习经验表示高度满意.
- 在DCHS模型中,需要进一步开发以应对紧急患者护理情况的准备.
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