医院在家 - - 一个新兴的机会,内部医学实习生
Stephanie Moore1, Rebekah Schiff1,2, Daniel S Furmedge1,2
1Department of Ageing & Health, 9th Floor North Wing, St Thomas' Hospital, London, United Kingdom.
Future healthcare journal
|November 19, 2024
概括
家庭医院 (HAH) 为医生提供了有价值的培训,涵盖了关键的内部医学能力. 这种急性临床服务可以整合到培训计划中,通过平衡的课程来解决潜在的限制.
科学领域:
- 医学教育 医学教育
- 医疗保健提供系统
背景情况:
- 在英国,家庭医院 (HAH) 服务正在扩大,在患者的家中提供急性医院护理.
- 这些服务在传统的医疗培训途径中基本上不存在.
- 非传统的培训路线正在出现,医生可以在标准课程之外获得能力.
研究的目的:
- 评估家庭医院 (HAH) 作为内部医学培训环境的潜力.
- 确定内部医学课程能力是否可以在HAH设置中实现.
主要方法:
- 在当地设计了一个内部医学等价计划.
- 作为该计划的一部分,实习生在家庭医院 (HAH) 服务中工作.
- 获得的能力与内部医学课程相比进行了评估.
主要成果:
- 家庭医院 (HAH) 提供有效的内部医学培训机会.
- 独特的学习经验包括临床决策,风险管理和多学科团队合作.
- 老年和内科核心能力得到了很好的解决.
结论:
- 家庭医院 (HAH) 是一个可行的内部医学培训环境.
- 减少对程序技能和复苏的接触可以通过均衡的培训计划来管理.
- 建议将HAH纳入内部医学培训和进一步研究.
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