在阿萨德后的叙利亚教学医院恢复临床学习环境:PHEEM分析和建议
Ghaith Alfakhry1, Rama Kodmani2, Munir Ghandour3
1Education Quality and Scientific Research Office, Al-Sham Private University, Damascus, Damascus Governorate, NA, Syria.
MedEdPublish (2016)
|May 19, 2025
概括
由于战争和政治不稳定,叙利亚居民医生面临着严重损害的临床学习环境 (CLE). 迫切需要进行改革,以改善医疗教育的培训,安全和留学.
科学领域:
- 医学教育 医学教育
- 公共卫生 公共卫生
- 叙利亚医疗保健系统
背景情况:
- 叙利亚的医疗专业教育培训系统受到数十年的独裁和冲突的影响.
- 之前的文献指出了问题,但使用验证的方法对临床学习环境 (CLE) 缺乏系统的评估.
研究的目的:
- 在叙利亚大马士革的教学医院系统评估临床学习环境 (CLE).
- 确定具体的缺陷领域,并为医疗教育的有针对性的改革提供信息.
主要方法:
- 在2023年中期在大马士革教学医院进行的一项横截面研究.
- 使用经过验证的36项PHEEM库存,补充了10项叙利亚特定项目和一个开放式问题.
- 在14个教学医院招募了来自31个医学专业的1490名住院医生.
主要成果:
- 临床学习环境 (CLE) 的整体得分低于最佳 (72.4±21.4分之144).
- 在外部监管,工作文化和生活条件 (得分低于50%) 中发现了重大缺陷.
- 只有14%的叙利亚居民计划留在叙利亚,这突出了严重的"大脑流失"问题.
结论:
- 该研究揭示了CLE的重大缺陷,损害了叙利亚教学医院的住院培训和患者安全.
- 迫切的,有针对性的改革和投资是必要的,以恢复和改善医疗教育系统.
- 解决外部监管,工作文化和生活条件方面的问题对于保持医疗保健专业人员至关重要.
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