PDF(Pubmed)
Abstract：
Cognitive benefits of longitudinal curricula and interleaving have been demonstrated in several disciplines. However, most residency curricula are structured in a block format. There is no consensus definition as to what constitutes a longitudinal program, making comparative research on curricular efficacy a challenge. The objective of our study was to arrive at a consensus definition of Longitudinal Interleaved Residency Training (LIRT) in family medicine.
A national workgroup was convened and utilized a Delphi method between October 2021 and March 2022 to arrive at a consensus definition.
Twenty-four invitations were sent, and 18 participants initially accepted. The final workgroup (n=13) was representative of the nationwide diversity of family medicine residency programs in terms of geographic location (P=.977) and population density (P=.123). The following definition was approved: \"LIRT is a curricular design and program structure that offers graduated, concurrent clinical experiences in the core competencies of the specialty. LIRT models the comprehensive scope of practice and continuity that defines the specialty; applies training methods that enhance long-term retention of knowledge, skills, and attitudes across all dimensions and locations of care delivery; and accomplishes program objectives through employment of longitudinal curricular scheduling and interleaving with spaced repetition.\" Additional technical criteria and definitions of terms are elucidated in the body of this article.
A representative national workgroup crafted a consensus definition of Longitudinal Interleaved Residency Training (LIRT) in family medicine, a program structure with a basis in emerging evidence-based cognitive science.
A national workgroup was convened and utilized a Delphi method between October 2021 and March 2022 to arrive at a consensus definition.
Twenty-four invitations were sent, and 18 participants initially accepted. The final workgroup (n=13) was representative of the nationwide diversity of family medicine residency programs in terms of geographic location (P=.977) and population density (P=.123). The following definition was approved: \"LIRT is a curricular design and program structure that offers graduated, concurrent clinical experiences in the core competencies of the specialty. LIRT models the comprehensive scope of practice and continuity that defines the specialty; applies training methods that enhance long-term retention of knowledge, skills, and attitudes across all dimensions and locations of care delivery; and accomplishes program objectives through employment of longitudinal curricular scheduling and interleaving with spaced repetition.\" Additional technical criteria and definitions of terms are elucidated in the body of this article.
A representative national workgroup crafted a consensus definition of Longitudinal Interleaved Residency Training (LIRT) in family medicine, a program structure with a basis in emerging evidence-based cognitive science.
摘要：
目的：纵向课程和交错的认知益处已在多个学科中得到证明。然而,大多数居住课程都是以块格式构建的。关于什么构成纵向计划没有共识的定义，使课程效能的比较研究成为挑战。我们研究的目的是达成家庭医学中纵向交错住院医师培训（LIRT）的共识定义。
方法：在2021年10月至2022年3月之间召集了一个国家工作组，并采用了德尔菲法，以达成共识定义。
结果：发送了二十四份邀请，最初接受了18名参与者。最终工作组（n=13）在地理位置（P=.977）和人口密度（P=.123）方面代表了全国家庭医学住院医师计划的多样性。批准了以下定义：“LIRT是一种课程设计和课程结构，提供毕业，在该专业的核心能力方面并行的临床经验。LIRT对定义专业的实践和连续性的综合范围进行建模；应用可增强知识的长期保留的培训方法，技能,和态度在护理提供的所有方面和位置;并通过采用纵向课程安排和交错间隔重复来实现计划目标。“额外的技术标准和术语定义在本文正文中阐述。
结论：一个具有代表性的国家工作组为家庭医学中的纵向交叉住院医师培训（LIRT）制定了共识定义，以新兴的基于证据的认知科学为基础的程序结构。
方法：在2021年10月至2022年3月之间召集了一个国家工作组，并采用了德尔菲法，以达成共识定义。
结果：发送了二十四份邀请，最初接受了18名参与者。最终工作组（n=13）在地理位置（P=.977）和人口密度（P=.123）方面代表了全国家庭医学住院医师计划的多样性。批准了以下定义：“LIRT是一种课程设计和课程结构，提供毕业，在该专业的核心能力方面并行的临床经验。LIRT对定义专业的实践和连续性的综合范围进行建模；应用可增强知识的长期保留的培训方法，技能,和态度在护理提供的所有方面和位置;并通过采用纵向课程安排和交错间隔重复来实现计划目标。“额外的技术标准和术语定义在本文正文中阐述。
结论：一个具有代表性的国家工作组为家庭医学中的纵向交叉住院医师培训（LIRT）制定了共识定义，以新兴的基于证据的认知科学为基础的程序结构。
