北萨斯喀彻温省的家庭医学住院主管诊所:一个程序评估
Jessica Froehlich1,2,3, Kristi Galloway1,2,3, Daniel Ferguson1,3
1Department of Academic Family Medicine, College of Medicine, University of Saskatchewan, Saskatoon, Canada.
概括
拉朗格居民主导的诊所通过培养独立性和文化能力来增强家庭医学居民培训. 优化诊所利用率和社区协作可以进一步改善患者护理和居民发展.
科学领域:
- 医学教育 医学教育
- 家庭医学 家庭医学 家庭医学
- 农村卫生 农村卫生
背景情况:
- 萨斯喀彻温大学La Ronge家庭医疗住院培训计划的家庭医疗住院医生经营着居民领导的诊所.
- 这些诊所满足社区确定的需求,为面临护理障碍的患者提供服务.
- 该计划旨在增强居民的独立临床决策和文化敏感的护理技能.
研究的目的:
- 确定如何进一步优化La Ronge居民领导的诊所.
- 在该计划中,加强居民培训和医疗保健服务.
主要方法:
- 与2018-2023年La Ronge住院培训计划的毕业生进行了采访.
- 一个半结构化的面试指南促进了对诊所的影响,好处,缺点和建议的对话讨论.
- 对采访数据进行了诱导性,反射性,主题分析.
主要成果:
- 实现了100%的响应率 (n=15).
- 六个关键主题出现了:远程监督的技能发展,克服障碍,意识到不平等,建立文化关系,优化诊所使用和实施变革.
- 参与者报告了显著的专业成长,但希望在独立和监督之间取得更好的平衡.
结论:
- 居民主导的诊所显著促进了专业和个人发展.
- 建议加强社区协作和优化诊所利用 (例如,改进翻译和预订服务).
- 这些改进可以使患者,社区和居民受益.
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