国家家庭医疗住院结果 项目方法 项目方法
Wendy B Barr1, Lars E Peterson2, Sarah Fleischer3
1Department of Medicine, UMass Chan Lahey Regional Medical School, Burlington, MA | Department of Family Medicine, Tufts University School of Medicine, Boston, MA.
PRiMER (Leawood, Kan.)
|November 21, 2024
概括
这项研究介绍了家庭医学住院成果项目 (FM-ROP),这是一个国家队列研究,将住院培训与医生实践成果联系起来. 它建立了未来跨专业的住院计划重新设计的方法.
科学领域:
- 医学教育研究 医学教育研究
- 家庭医学培训 家庭医学培训
- 医生结果的结果
背景情况:
- 住院培训正在经历重大改革,需要基于证据的指导.
- 之前的研究缺乏大规模的前性数据,将课程与毕业生成果联系起来.
- 学术家庭医学教育研究联盟委员会 (CERA) 和美国家庭医学委员会 (ABFM) 发起了国家家庭医学住院成果项目 (FM-ROP).
研究的目的:
- 描述方法,并评估FM-ROP的代表性和响应率.
- 建立一个框架来评估住院培训对医生实践的影响.
- 提供指导新居留计划标准的数据.
主要方法:
- 根据2018年毕业的ABFM外交官进行的前性队列研究.
- 通过2018年CERA项目主任调查衡量了居住地风险.
- 通过2021年国家研究生调查 (NGS) 评估的研究生成果.
主要成果:
- 2018年CERA调查实现了43.3%的响应率;2021年NGS的响应率为45.1%.
- 最终的分析样本包括来自211个医院的779名毕业生.
- 来自较大的课程和MD的毕业生在匹配的数据集中更有代表性.
结论:
- 这是第一个全国性队列研究,将项目主任对培训的看法与研究生实践结果联系起来.
- FM-ROP方法为其他进行住房重新设计的专业提供了一个模型.
- 该研究提供了基础数据,以证据为基础的医疗教育改进.
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