关键词: antimicrobial resistance emerging infectious diseases infection prevention and control medical education silent pandemic

Mesh : Humans COVID-19 / epidemiology prevention & control Infectious Disease Medicine / education organization & administration Specialization SARS-CoV-2

来  源:   DOI:10.18926/AMO/67195

Abstract:
The global pandemic of COVID-19 has underscored the significance of establishing and sustaining a practical and efficient infection control system for the benefit and welfare of society. Infectious disease (ID) specialists are expected to take on leadership roles in enhancing organizational infrastructures for infection prevention and control (IPC) at the hospital, community, and national levels. However, due to an absolute shortage and an uneven distribution, many core hospitals currently lack the ID specialists. Given the escalating global risk of emerging and re-emerging infectious diseases as well as antimicrobial resistance pathogens, the education and training of ID specialists constitutes an imperative concern. As demonstrated by historical changes in the healthcare reimbursement system, the establishment and enhancement of IPC measures is pivotal to ensuring medical safety. The existing structure of academic society-driven certification and training initiatives for ID specialists, contingent upon the discretionary decisions of individual physicians, possesses both quantitative and qualitative shortcomings. In this article, I first address the present situations and challenges related to ID specialists and then introduce my idea of securing ID specialists based on the new concepts and platforms; (i) ID Specialists as National Credentials, (ii) Establishment of the Department of Infectious Diseases in Medical and Graduate Schools, (iii) Endowed ID Educative Courses Funded by Local Government and Pharmaceutical Companies, and (iv) Recruitment of Young Physicians Engaged in Healthcare Services in Remote Areas. As clarified by the COVID-19 pandemic, ID specialists play a crucial role in safeguarding public health. Hopefully, this article will advance the discussion and organizational reform for the education and training of ID specialists.
摘要:
COVID-19的全球大流行强调了建立和维持一个实用和有效的感染控制系统以造福社会的重要性。预计传染病(ID)专家将在加强医院感染预防和控制(IPC)的组织基础设施方面发挥领导作用。社区,和国家层面。然而,由于绝对短缺和分布不均,许多核心医院目前缺乏ID专家。鉴于新出现和重新出现的传染病以及抗生素耐药性病原体的全球风险不断升级,ID专家的教育和培训是当务之急。正如医疗报销制度的历史变化所证明的那样,建立和加强IPC措施对于确保医疗安全至关重要。学术社会驱动的认证和ID专家培训计划的现有结构,取决于个别医生的自由裁量决定,具有定量和定性的缺点。在这篇文章中,我首先解决与ID专家相关的现状和挑战,然后介绍我基于新概念和平台保护ID专家的想法;(i)ID专家作为国家证书,(二)在医学院和研究生院设立传染病学系,(iii)由地方政府和制药公司资助的捐赠ID教育课程,(iv)招募从事偏远地区医疗保健服务的年轻医师。正如COVID-19大流行所澄清的那样,ID专家在保障公众健康方面发挥着至关重要的作用。希望,本文将推进ID专家教育培训的讨论和组织改革。
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