在咨询监督咨询和协助全科医生注册:跨部门研究的跨实践的变化
Michael Bentley1, Amanda Tapley2,3, Andrew Davey2,3
1The Royal Australian College of General Practitioners, Hobart, Australia.
澳大利亚的通用实践注册人员在咨询期间获得各种各样的监督支持. 培训实践显示,在注册人员寻求和收到监督人员咨询建议的频率方面存在显著差异.
科学领域:
- 医学教育 医学教育
- 一般实践培训一般实践培训
- 健康 专业 教育 卫生 专业 教育
背景情况:
- 澳大利亚在一般实践培训中使用学徒模式,监督员监督注册员.
- 监管人员提供正式教育和非正式的,临时的咨询咨询建议和协助.
- 管理这些至关重要的学习机会需要在繁忙的临床环境中仔细导航.
研究的目的:
- 量化一般实践培训实践之间关于注册员获得监管咨询咨询/协助的变化.
- 了解注册人员在多大程度上利用监督人员进行实时临床支持.
主要方法:
- 来自注册员在培训中的临床接触项目 (2010-2021) 数据的横截面分析.
- 贝叶斯模型框架用于通过类内相关系数和中位数赔率比率来估计实践间的变化.
- 结果变量:"监事提供咨询/协助"对4642名注册员的1,026,330个问题/诊断.
主要成果:
- 6.73%的注册医生临床接触涉及咨询监督咨询/协助.
- 监管咨询/协助的类内相关系数为0.043,表明实践层面的显著差异.
- 1.523的中位几率比率表明,在从一家诊所到另一家诊所转移时,寻求/接受建议的几率增加了52%.
结论:
- 在澳大利亚的一般实践培训实践中,在提供咨询监督支持方面存在显著的差异.
- 调查结果强调,需要在一般实践培训中采用一致的方法来管理临时监督接触.
- 需要进一步制定政策和实践,以确保所有注册机构的公平学习经验.
更多相关视频
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
10:38Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
Published on: January 16, 2019
相关概念视频
Dosage Regimen: Individualization
Interdisciplinary Care: The Health Care Team-I
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
Observational Studies
There are three types of observational studies – Prospective, retrospective, and cross-sectional.
Prospective Study
Prospective studies, also known as longitudinal or cohort studies, are carried out by collecting future data from groups sharing similar characteristics. One...
Types of Records II: Educational and Administrative Records
Ethical Standards II
Nurses are entrusted with upholding various ethical principles and standards. Nurses forge solid therapeutic relationships using trust, empathy, autonomy, confidentiality, and professional competence.
Confidentiality is crucial, embodying respect for individual privacy...
Methods of Documentation II: POMR
