概括
一本新的临床手册通过解决知识和系统障碍,改善了内部医学实习生 (IMT) 的门诊安排. 这种资源增强了安排的方便性和信心,提高了诊所周的教育价值.
科学领域:
- 医学教育 医学教育
- 内部医学培训培训 内部医学培训
- 医疗保健管理部门的管理.
背景情况:
- 内部医学实习生 (IMT) 需要门诊经验,但由于沟通不良和各种安排流程,他们难以安排诊所.
- 障碍包括对联系人缺乏知识和机构间不一致的安排程序.
研究的目的:
- 加强IMT门诊周的组织和教育影响.
- 开发和实施一个用户友好的临床手册,以简化临床安排.
主要方法:
- 一个介入前和介入后的研究设计,利用定量和定性分析.
- 一项基线调查确定了障碍,随后与行政人员合作开发了手册.
- 该手册以电子方式分发,并进行了后续调查,使用利克特尺度和PDSA框架内的专题分析来评估其影响.
主要成果:
- 在安排时间 (2.33至4.33),了解联系人 (3.06至4.58),规划能力 (2.60至4.33) 等方面观察到显著改善.
- 实习生报告说,他们对安排诊所的信心增加了,即使是在他们的专业之外.
- 所有受访者都认为这本手册很有用,表明它在克服物流挑战方面的有效性.
结论:
- 一本由实习生开发的临床手册有效地消除了门诊培训的系统和信息障碍.
- 该手册扩大了进入专科诊所的机会,并改善了整体培训经验.
- 维持这些改进需要将手册整合到启动中,并确保定期更新以实现更广泛的应用.
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