在早期无监督实践中,实习医生里程碑评级和患者经验调查
Jenny X Chen1, Deirdre Mylod2, Yuezhou Jing3
1Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins School of Medicine, Baltimore, Maryland.
JAMA network open
|October 8, 2025
概括
在住院期间,更高的专业性和人际关系和沟通技能 (ICS) 里程碑评级与更好的患者体验调查结果相关. 评级较低的医生可能需要有针对性的干预措施来改善患者护理.
科学领域:
- 医学教育 医学教育
- 患者体验研究 研究研究
- 医生绩效评价 医生的绩效评价
背景情况:
- 里程碑评级用于评估住院医生,但它们对患者培训后体验的影响尚不清楚.
- 专业精神和人际关系和沟通技巧 (ICS) 是在居住期间评估的关键能力.
研究的目的:
- 调查居民的专业性和ICS的里程碑评分以及患者体验调查结果之间的关联.
- 为了确定职业生涯早期医生在患者互动方面的表现是否与住院评估一致.
主要方法:
- 来自成人初级保健住院计划 (2015-2019) 的医生回顾性队列研究 (2015-2019).
- 链接里程碑评级与临床医生和医疗保健提供者和系统 (CG-CAHPS) 调查数据的群体消费者评估.
- 使用多变量线性回归来分析关联,控制医生和患者的人口统计.
主要成果:
- 较高的专业性和ICS的里程碑评分与患者报告的Top Box分数较高有显著的关联.
- 调整后的平均差异显示,医生知识沟通和总体评分的改善,对于那些具有更高的里程碑分数的人来说.
- 在多个与医生相关的CG-CAHPS问题中,这种关联仍然显著.
结论:
- 在住院期间更高的专业性和ICS Milestones评级预测了早期无监督实践中更好的患者体验.
- 这些发现强调了强大的里程碑评估对于预测未来医生与患者互动的重要性.
- 里程碑评分较低的实习生可能会从有针对性的干预措施中受益,以提高患者的沟通和体验.
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