在学术医院医学奖学金中的临床班次分布,跨越10年的时间
Anup Das1, Ethan Molitch-Hou2, Shannon K Martin2
1From the Department of Medicine, Division of Hospital Medicine, Northwestern University, Chicago, Illinois.
Southern medical journal
|November 1, 2024
概括
医院医学 (HM) 奖学员主要在工作时间以外的班次工作,并不反映学术医院医师实践. 奖学金培训需要优化,以使临床暴露与职业目标保持一致.
科学领域:
- 医学教育 医学教育
- 内部医学 内部医学
- 医疗保健管理的管理
背景情况:
- 医院医学 (HM) 作为一个医学专业迅速扩大.
- 与此同时,HM奖学金计划的数量也在增加.
- 关于在培训期间HM研究员临床暴露的数据有限.
研究的目的:
- 分析HM研究员完成的临床班次的类型和分布.
- 为了评估HM研究员在十年中的临床暴露.
- 为优化HM奖学金课程提供信息.
主要方法:
- 对从2013年到2023年的临床转移数据的回顾性分析.
- 班次分类为白天覆盖,非工作时间覆盖,教学服务和危险.
- 计算每年由HM研究员工作的班次总结统计数据.
主要成果:
- 22名HM研究员在10年内完成了4430个班次.
- 大多数班次是在工作时间之外 (51.0%).
- 研究员对白天 (29.6%) 和教学轮班 (9.0%) 的接触较少.
结论:
- HM研究员的临床时间不成比例地花在工作时间以外的班次上.
- 这种班次分配并不反映学术医院医生的实践.
- 奖学金培训需要调整,以更好地为学术生涯做好准备.
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