寻求医疗智慧:开发一个医生定义的智慧能力的实用模型
Jordan Millhollin1, Wei Wei Lee2, Nic M Weststrate3
1Indiana University School of Medicine, Indianapolis, Indiana, USA.
Medical education
|May 6, 2025
概括
学术医生通过整合适应能力,价值观和知识来定义医学智慧 (MW). 开发MW需要解决智慧和科学之间的独特道德经济,以获得更好的以患者为中心的护理.
科学领域:
- 医学教育 医学教育
- 医生能力框架 医生能力框架
- 医学的智慧在医学上
背景情况:
- 医疗实践的复杂性需要超越技术知识的智慧.
- 将智慧整合到美国医疗能力框架中仍然具有挑战性.
- 了解学术医生对医学智慧的看法至关重要.
研究的目的:
- 探索学术医生如何定义医学智慧 (MW).
- 确定将MW纳入医学教育中的障碍和促进因素.
- 开发一个医学智慧的模型.
主要方法:
- 与19名教师医生进行了深入的,半结构化的访谈.
- 面试数据的专题分析 (TA).
- 医学智慧和医学科学范式的极性映射.
主要成果:
- 医生通过适应能力,价值观和技术知识来概念化MW.
- 一个医学智慧 (TMMW) 的三方模型被开发出来,结合了复杂的适应性系统 (CAS) 特性.
- 智慧和科学之间的道德经济的差异构成了整合障碍.
结论:
- 智能能力整合了医疗知识,背景和患者对以患者为中心的护理的愿望.
- TMMW提供了一个整合这些元素的模型,强调元认知.
- 承认不同的道德经济是将MW纳入能力框架的关键.
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