在研究生医学教育中了解教师对健康公平课程实施的观点:一种定性研究
Krys E Foster1, Dhruvi Shah2, Quinn Plunkett3
1Department of Family and Community Medicine, Sidney Kimmel Medical College at Thomas Jefferson University, 1015 Walnut Street, Suite 401, Philadelphia, PA, 19107, USA. Krys.Foster@jefferson.edu.
医疗住院教师面临教学健康公平的障碍,包括时间限制和缺乏培训. 解决这些问题需要机构支持和教师发展,以提高居民在解决医疗保健差异方面的能力.
科学领域:
- 医学教育 医学教育
- 健康 公平 研究 健康 公平 研究
- 研究生医学教育研究生医学教育
背景情况:
- 尽管人们意识到这一点,但医疗保健的差异仍然存在.
- 医疗住院课程需要扩大健康公平教育.
- 研究生医学教育认证委员会 (ACGME) 要求解决健康的社会决定因素,但实施不足.
研究的目的:
- 探索住院教师在实施健康公平课程方面的观点.
- 在医疗住院计划中识别卫生公平教育的障碍和促进者.
主要方法:
- 与13名住院教师进行了定性访谈和重点小组.
- 在2022年11月至2023年4月期间在一个大型学术医疗机构收集的数据.
- 用于数据分析的模板分析和主题编码.
主要成果:
- 教师发现了障碍:时间有限,课程优先级的挑战,缺乏培训/专业知识,以及领导讨论的不适.
- 机构障碍包括资源分配和缺乏买入.
- 教师表达了对健康公平教育的结构化支持和受保护时间的需求.
结论:
- 机构支持的教师发展和受保护的学习时间对于健康公平教育至关重要.
- 解决教师障碍可以提高居民在识别和解决医疗保健差异方面的能力.
- 研究提供了改善在医学研究生教育中改善健康公平课程实施的见解.
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