教育研究:X+Y时间表模型对神经病学实习培训的影响
Shuvro Roy1, Katherine Fu1, Timothy E Ryan1
1From the Department of Neurology (S.R.), Johns Hopkins University, Baltimore, MD; Department of Neurology (S.R., K.F., T.E.R., Y.B., C.C.F., A.M.K.), UCLA, Los Angeles, CA; and Department of Neurology (T.E.R.), Cedars Sinai Medical Center, Los Angeles, CA.
Neurology. Education
|August 14, 2025
概括
X + Y 模型改善了神经病学居民对门诊和住院护理的满意度,以及幸福感. 这种模式增加了早期门诊接触,增强了居民在子专业的教育.
科学领域:
- 医学教育 医学教育
- 神经学培训 神经学培训
- 住院项目 住院项目
背景情况:
- 传统的神经病学住院时间表可能会导致倦怠和早期门诊暴露不足.
- 住院医生经常认为,由于缺乏临床经验,学术奖学金的决定是过早做出的.
研究的目的:
- 评估X + Y课程模型对神经病学住院培训的影响.
- 增加早期门诊临床暴露,提高居民的满意度和幸福感.
主要方法:
- 在加州大学洛杉矶分校神经病学实习计划中使用了一种预干预/后干预研究设计.
- 关键指标包括居民满意度,门诊接触,住院移交,工作时间和RITE分数.
- 通过调查收集居民的看法,并从居民时间表中分析客观数据.
主要成果:
- 平均临床半日显著增加,增加了门诊患者的暴露.
- 住院居民对门诊 (42%至93%) 和住院 (60%至94%) 经验的满意度有所提高.
- 居民对福利的满意度从42%上升到96%,门诊子专业RITE主题的分数有所改善.
结论:
- X + Y 模型有效地增加了神经病学住院的门诊患者的暴露.
- 这种教育模式提高了居民的满意度,福祉和子专业知识.
- X+Y模型提供了一种有前途的方法来应对神经病学住院教育的挑战.
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