轮换培训结构和公共卫生教育中的国家就业:一个组织的视角
Nadieh J L M Taks1, Tiuri R van Rossum2, Lidewij T Warris3
1Research Group 'Research & Innovation in Public Health Practice Based Learning' (RIPPLE), Netherlands School of Public and Occupational Health, 10th Floor, Churchilllaan 11, Utrecht, GV, 3527, The Netherlands. n.taks@nspoh.nl.
BMC medical education
|December 19, 2024
概括
在公共卫生研究生医学教育 (PGME-PH) 中实施结构化轮换的培训机构面临影响力和沟通能力降低的挑战,影响所有权和可持续性. 对于教育的高度动机仍然存在,这突显了需要明确的沟通和协作.
科学领域:
- 公共卫生教育 公共卫生教育
- 医学培训 医学培训 医学培训
- 基于工作场所的学习
背景情况:
- 研究生医学教育 (PGME) 依赖于结构化培训轮换和基于工作场所的学习 (WBL).
- 公共卫生中的PGME计划 (PGME-PH) 尚未得到充分探索,因此需要在COVID-19后进行课程改革.
- 本研究探讨了在PGME-PH中采用结构化轮换以实现可持续发展的组织视角.
研究的目的:
- 探索PGME-PH培训机构如何导航结构化培训轮换.
- 检查组织对提高教育创新的可持续性和整合的观点.
- 了解过渡到国家雇主对PGME-PH计划的影响.
主要方法:
- 与来自荷兰提供PGME-PH的8所机构的14名参与者进行半结构面试.
- 使用实施研究综合框架 (CFIR) 探索实施经验.
- 在2022年10月至11月期间收集的数据.
主要成果:
- 三个主题影响了实施:影响力,沟通和动机.
- 参与者报告说,在组织PGME-PH方面影响力减少,沟通方面面临重大挑战 (角色,框架,财务).
- 尽管存在障碍,但人们注意到对教育的强烈动机和对合作的重视.
结论:
- 影响力有限和沟通挑战对新的PGME-PH课程的所有权和可持续性产生了负面影响.
- 对于教育交付的高度动机仍然存在.
- 可持续的实施需要促进所有权,明确的沟通和长期成功的动机.
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