给予和接受:与学生经营的诊所的复杂关系的导航
David Lee1, Allyson Tayag2, Rana Amoush2
1Division of Urogynecology & Reconstructive Pelvic Surgery, Department of Obstetrics & Gynecology, Northwestern University Feinberg School of Medicine, 250 E. Chicago Ave, Floor 5, Chicago, IL, 60611, USA. david.lee@alumni.med.wmich.edu.
Journal of community health
|October 18, 2025
概括
学生经营的诊所 (SRC) 提供重要的医疗保健和培训,但在服务和学习目标之间存在冲突. 可持续的改革至关重要,以避免加剧不平等,并确保有效的患者护理.
科学领域:
- 医学教育 医学教育
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 学生经营的诊所 (SRCs) 为服务不足的人群提供医疗保健,为学生提供教育体验.
- 系统性不平等推动了对SRC的需求,但也暴露了它们的运营弱点.
- 在SRC中,服务和学习的双重使命可能会产生固有的冲突和困境.
研究的目的:
- 探索学生经营的诊所内服务和学习目标之间的潜在冲突.
- 确定这些冲突产生的运营漏洞和意外后果.
- 突出可持续改革的需要和对SRC的资源投资.
主要方法:
- 文献审查以确定SRC中记录的挑战.
- 分析患者护理与医疗培训之间的内在紧张关系.
- 描述潜在的冲突及其对脆弱患者群体的影响.
主要成果:
- SRC面临的困境是,优先考虑培训可能会给患者带来负担,可能会加剧不平等.
- 系统不平等加剧了运营脆弱性,使服务和教育之间的平衡变得复杂.
- 如果没有战略性改革和资源,SRC可能会失败于患者群体并延续差异.
结论:
- 在SRC中解决服务和学习目标之间的冲突对于有效的患者护理和公平的结果至关重要.
- 可持续的改革和一致的资源投资是必要的,以减轻风险和增强SRC的影响.
- 需要进一步的研究来开发最佳实践,以在医学教育和公共卫生环境中应对这些复杂的挑战.
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