professionalism

专业精神
  • 文章类型: Journal Article
    没有足够的人员配备,就不可能获得高质量的医疗保健和有效的公共卫生。现代医学正受制于全球化和国际化的趋势,像国民经济的许多其他行业和领域一样,今天,医生和护士经常为讲外语的公民提供医疗服务:游客,移民,难民,外国学生,等。本文概述了反映语言培训和外语知识对医学专业人员的重要性的出版物。
    High-quality medical care and effective public health are impossible without adequate staffing. Modern medicine is subject to the trends of globalization and internationalization, like many other industries and spheres of the national economy, and today both doctors and nurses often provide medical care to foreign-speaking citizens: tourists, migrants, refugees, foreign students, etc. The article provides an overview of publications reflecting the importance of linguistic training and knowledge of foreign languages for medical professionals.
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  • 文章类型: Journal Article
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  • 文章类型: Editorial
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  • 文章类型: Journal Article
    目标:确定哪些医学院培养的耳鼻喉科住院医师最多,以及可能有助于这种生产力的相关特征。
    方法:确定了每个耳鼻喉科匹配学生的医学院和住院医师计划。在调整班级人数后,在单变量和多变量分析中比较了每个医学院和住院医师的各种特征。确定并比较了每个地理区域的匹配学生相对于班级规模的百分比。
    方法:从2020-2023年对otomatch.com和耳鼻喉科住院医师计划网站公开提供的匹配数据进行横断面研究。
    方法:确定了来自174所医学院的1411名符合126名耳鼻喉科住院医师的学生。
    结果:私立医学院(β=0.50,p=0.03),较大的耳鼻喉科(β=0.01,p=0.04),较高的美国新闻与世界报道(USNWR)排名(β=-0.01,p=0.02)与耳鼻喉科匹配学生的比例更高,而山区的学校与匹配学生的比例更低相关(β=-1.08,p=0.02)。在所有地区进行比较时,观察到匹配学生的百分比差异(p<0.01),但在任何单个地区之间均未观察到显着差异。与山区相比,东北中部地区和中大西洋地区更有可能匹配各自地区的学生(OR:4.98,95%CI:1.18,21.01;OR:8.20,95%CI:1.92,34.99,分别)。此外,与太平洋相比,山区不太可能匹配来自自己地区的学生(OR:0.21,95%CI:0.05,0.90),南大西洋(OR:0.20,95%CI:0.05,0.85),和西南中部(OR:0.15,95%CI:0.03,0.67)地区。
    结论:医学院的特点,如私人与公共地位,耳鼻喉科的大小,更高的USNWR排名,和地理区域影响耳鼻喉科匹配学生的数量。申请人在居留申请过程中分配信号时应考虑其地理区域的影响。
    OBJECTIVE: Identify which medical schools produce the most otolaryngology residents, and associated characteristics which may contribute to this productivity.
    METHODS: The medical school and residency program of each otolaryngology-matched student was identified. Various characteristics for each medical school and residency were compared in univariate and multivariate analysis after adjusting for class size. Percentage of matched students relative to class size was identified and compared for each geographic region.
    METHODS: Cross-sectional study of publicly available match data from otomatch.com and otolaryngology residency program websites from 2020-2023.
    METHODS: 1411 students from 174 medical schools matched into 126 otolaryngology residencies were identified.
    RESULTS: Private medical schools (β = 0.50, p = 0.03), larger otolaryngology departments (β = 0.01, p = 0.04), and higher U.S. News and World Report (USNWR) ranking (β = -0.01, p = 0.02) was associated with a greater percentage of otolaryngology-matched students while schools in the Mountain region were associated with a lower percentage of matched students (β = -1.08, p = 0.02). A difference in percentage of matched students was observed when comparing across all regions (p < 0.01) but no significant differences were observed between any individual regions. The East North Central Region and the Middle Atlantic regions were more likely to match students from their respective regions compared to the Mountain region (OR: 4.98, 95% CI: 1.18, 21.01; OR: 8.20, 95% CI: 1.92, 34.99, respectively). Additionally, the Mountain region was less likely to match students from their own region compared to the Pacific (OR: 0.21, 95% CI: 0.05, 0.90), South Atlantic (OR: 0.20, 95% CI: 0.05, 0.85), and West South Central (OR: 0.15, 95% CI: 0.03, 0.67) regions.
    CONCLUSIONS: Medical school characteristics such as private vs public status, size of otolaryngology department, higher USNWR ranking, and geographic region impact the number of otolaryngology-matched students. Applicants should consider the impact of their geographic region when allocating signals during the residency application process.
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  • 文章类型: Journal Article
    专业主义是一种抽象的多维社会文化结构,本质上是进化的和依赖于上下文的。这使得医疗保健专业的教学和评估变得复杂而具有挑战性。缺乏专业精神会增加患者的风险和诉讼。
    本文探讨了跨医疗保健和非医疗保健学科的群体创造力和多样性,以及他们如何帮助学生构建自己的专业理解和知识。建议将专业精神与创造力联系起来,将提高对如何帮助学习医疗保健的学生更好地学习专业精神的理解。
    共有30名来自不同高等教育水平和跨学科的学生参加了这项研究。他们探索了画廊或博物馆,并检查了与专业精神有关的人工制品。通过调查结果以及对反思性论文和半结构化访谈的主题分析来评估学习经验。
    参与者报告说,他们对专业的理解和对他人观点和技能的欣赏。这项任务的创造性方面既有趣又引人入胜,和群体多样性使不同的意见和观点能够被听到和分享。这类似于专业的工作环境。论文产生的主题是:(A)内在动机,(b)多样性,(c)学习专业精神,(d)遇到的挑战。
    这项研究的结果为现有文献做出了有意义的贡献,通过实证证明,当来自不同学科的学生在真正的创造性和多样化的环境中进行学习活动时,他们可以更好地构建自己对专业的理解。这种教育概念是由不相互排斥的各种类型的创造力支撑的。希望这第一个证据将激发更多关于在医疗保健教育中利用群体创造力和多样性的研究。
    UNASSIGNED: Professionalism is a multidimensional sociocultural construct that is abstract, evolving and context-dependent in nature. This has made the teaching and assessment of professionalism in healthcare complex and challenging. A lack of professionalism can increase patient risk and litigation.
    UNASSIGNED: This article examines group creativity and diversity across healthcare and non-healthcare disciplines and how they can assist students in constructing their own understandings and knowledge of professionalism. It is proposed that linking professionalism to creativity will improve understanding on how to help students studying healthcare learn about professionalism better.
    UNASSIGNED: A total of 30 students from different tertiary levels and across disciplines participated in the study. They explored either a gallery or museum and examined an artefact relating to professionalism. Learning experiences were evaluated via survey results and thematic analyses of their reflective essays and semi-structured interviews.
    UNASSIGNED: Participants reported increased understanding of professionalism and appreciation of perspectives and skills of others. The creative aspect of the task was fun and engaging, and group diversity enabled different opinions and perspectives to be heard and shared. This is analogous to a professional working environment. Themes generated from the essays were: (a) intrinsic motivation, (b) diversity, (c) learnings of professionalism, and (d) challenge encountered.
    UNASSIGNED: The results of this research make a meaningful contribution to existing literature by empirically demonstrating that students from different disciplines could better construct their own understandings of professionalism when their learning activities were performed in an authentically creative and diverse setting. This educational concept is underpinned by diverse types of creativities that are not mutually exclusive. It is hoped that this first piece of evidence will stimulate more studies on utilising group creativity and diversity in healthcare education.
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  • 文章类型: Journal Article
    沙特卫生专业委员会(SCHS)最近提出了沙特医学家庭医学(FM)2020计划,这是基于CanMEDS-FM2017,包括一些能力。这项研究的目的是评估遵循SCHS修改课程的FM居民的专业性。
    2023年6月至8月,在吉达的阿卜杜勒阿齐兹国王大学医院进行了一项横断面研究,研究对象为1至3年级的FM居民以及两种性别的FM居住计划的研究生。对于数据收集,使用了自CanMEDS改编的结构化自我管理的基于网络的问卷。
    共有45名FM居民做出了回应,大多数(73.3%)在20至30岁之间(77.8%),62.2%为女性。在患者专业精神方面,93.3%经常/总是在实践的各个方面表现出适当的专业行为和关系;62.2%经常/总是在实践的各个方面表现出追求卓越的承诺。在专业精神和社会承诺方面,80%经常/总是表现出对患者的责任,社会,通过回应社会对医生的期望,86.6%经常/总是表现出对患者安全和质量改进的承诺.在专业承诺方面,88.9%经常/始终履行并遵守专业和道德准则,实践标准,和管理实践的法律。在自我承诺方面,发现86.6%的人经常/总是表现出自我意识和对个人福祉和专业表现的管理影响。大多数(80%)在整个医师生命周期中管理个人和专业的可持续实践需求,86.7%的人经常/总是提倡一种文化,supports,并有效地回应有需要的同事。
    吉达的FM居民,沙特阿拉伯,表现出对患者的可接受的奉献水平,社会,职业,和自我,表明高水平的专业精神。
    UNASSIGNED: The Saudi Commission for Health Specialties (SCHS) recently proposed the Saudi Meds Family Medicine (FM) 2020 program, which is based on CanMEDS-FM 2017 and includes a number of competencies. The purpose of this study is to evaluate the professionalism of FM residents who follow the modified curriculum of the SCHS.
    UNASSIGNED: A cross-sectional study was conducted between June and August 2023 at King Abdulaziz University Hospital in Jeddah among FM residents from year 1 to year 3 and postgraduates from the FM residency program of both genders. For data collection, a structured self-administered web-based questionnaire adapted from CanMEDS was used.
    UNASSIGNED: A total of 45 FM residents responded, with the majority (73.3%) between the ages of 20 and 30 (77.8%), and 62.2% females. In terms of patient professionalism, 93.3% frequently/always demonstrated appropriate professional behavior and relationships in all aspects of practice; 62.2% frequently/always demonstrated a commitment to excellence in all aspects of practice. In terms of professionalism and societal commitment, 80% frequently/always demonstrated accountability to patients, society, and the profession by responding to societal expectations of physicians, and 86.6% frequently/always demonstrated a commitment to patient safety and quality improvement. In terms of professional commitment, 88.9% frequently/always fulfil and adhere to professional and ethical codes, standards of practice, and laws governing practice. In terms of self-commitment, it was discovered that 86.6% frequently/always demonstrated self-awareness and managed influences on personal well-being and professional performance. The majority (80%) managed personal and professional demands for a sustainable practice throughout the physician lifecycle, and 86.7% frequently/always promoted a culture that recognizes, supports, and effectively responds to colleagues in need.
    UNASSIGNED: FM residents in Jeddah, Saudi Arabia, demonstrated acceptable levels of dedication to patients, society, profession, and self, indicating a high level of professionalism.
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  • 文章类型: Journal Article
    贯穿整个药学课程的专业身份形成(PIF)对于学习者从外行人向药剂师转变至关重要。为了有效,PIF活动需要有意的发展和支持。专业身份通常被视为PIF的核心组成部分;然而,必须强调通过这一过程整合和调整个人的个人身份。此外,一直强调维护多样性,Equity,Inclusion,以及反种族主义(DEIA)在药学实践和教育方面的努力。有必要在不同人群中探索PIF的经验,包括在药房(UIP)中代表性不足的学习者。本评论探讨了在医疗保健学科中代表性不足的学习者之间PIF的差异,并且呼吁采取行动,以探索基于证据的干预措施,这些干预措施具有包容性并适合个体学习者。本评论为代表性不足的学习者中有关PIF的其他学术工作和建议奠定了基础。
    Professional identity formation (PIF) throughout the pharmacy curriculum is important for learners to transform from layperson to pharmacist. To be effective, PIF activities need intentional development and support. Professional identity is often seen as the core component of PIF; however, there must be an emphasis on integrating and aligning an individual\'s personal identity through this process. Moreover, there has been an emphasis on upholding Diversity, Equity, Inclusion, and Anti-Racism (DEIA) efforts in pharmacy practice and education. There is a need to explore experiences of PIF among diverse populations, including learners underrepresented in pharmacy (UIP). This commentary explores the differences in PIF among underrepresented learners in healthcare disciplines and is a call to action to explore evidence-based interventions that are inclusive and tailored to individual learners. This commentary sets a foundation for additional scholarly work and recommendations regarding PIF among underrepresented learners.
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  • 文章类型: Journal Article
    背景:自2017年以来,在法国,医学物理学家(MP)最终被法律定义为卫生专业人员,国会议员的角色和责任取决于这些医学职业道德,但国会议员缺乏这方面的初步或持续培训。为了了解我们的同事对这个问题的看法,进行了以下调查。
    方法:法国医学物理学会(SFPM)基于2013年AAPM工作,针对其成员和非成员进行了有关道德的网络调查;强调了经验和培训在调查结构中尤为重要。
    结果:收集了249个答案,并对缺乏该主题的初始和持续培训表现出明显的担忧。不道德行为的专业经验归因于缺乏培训,资源或能力和敌对的工作环境。
    结论:为了解决调查中突出的缺点,SFPM成立了一个专门的自愿工作组,旨在为MP和培训模块制定职业道德守则,以应用于入门级或持续的教育专业发展。
    BACKGROUND: Since 2017, in France, medical physicists (MP) are finally defined by law as health professionals and as such, the roles and responsibilities of an MP lean on those medical professional ethics but MPs lack initial or continuing training in this subject. In order to find out how our colleagues feel about this subject, the following survey was conducted.
    METHODS: French Society of Medical Physics (SFPM) designed a web survey addressed to its members and non-members concerning ethics based on the 2013 AAPM work; experience and training were highlighted as particularly important within the survey structure.
    RESULTS: 249 answers were collected and showed a pronounced concern at the lack of initial and continuous training in this subject. Professional experience of non-ethical behaviour was attributed to the lack of training, resources or competences and hostile work environments.
    CONCLUSIONS: To address the shortcomings highlighted in the survey, SFPM has created a dedicated voluntary working group aimed at producing a professional code of ethics for MP and training modules to be applied at entry level or as continuing professional development for education.
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  • 文章类型: Journal Article
    引言以社区为基础的初级保健物理治疗是通过私人诊所发展起来的,新西兰奥特亚罗阿的按服务收费模式,独立企业在竞争中运作。目的我们旨在探讨物理治疗的私人执业模式如何影响患者护理,物理治疗师,和职业行为。方法使用最大变异目的抽样,招募了六名物理治疗师在新西兰Aotearoa的一家初级保健私人诊所中管理肌肉骨骼疾病。深入的个人面对面半结构化访谈被录音记录,逐字转录,并使用解释性描述进行分析。归纳数据分析综合和上下文数据,创建一个跨采访开发的主题框架。结果所有物理治疗参与者都讨论了私人执业物理治疗中对文化和专业精神的担忧,尽管没有被问及这些问题。确定了三个主题。“竞争性商业模式和缺乏合作”-参与者认为实践之间的竞争导致缺乏信任,合议,和合作,以及临床医生维持收入的压力。\'(联合国)专业行为\'-参与者认为物理治疗师是防御性的,厌恶审查,导致他们在需要帮助时不愿意承认,或进行同行评审或征求第二意见。“缺乏支持和指导”-私人执业的专业文化被认为减少了支持和指导,负面影响影响物理治疗师在职业生涯的各个阶段。结论这项探索性定性研究表明,竞争在私人执业物理治疗中占主导地位,并可能对专业精神和患者护理质量产生更广泛的影响。竞争性的商业模式和对审查的厌恶可能会减少大学的互动和专业行为。
    Introduction Community-based primary care physiotherapy has developed through private practice, fee-for-service model in Aotearoa New Zealand where independent businesses operate in competition. Aim We aimed to explore how the private practice model of physiotherapy impacts patient care, physiotherapists, and professional behaviour. Methods Six physiotherapists managing musculoskeletal conditions in a primary care private practice in Aotearoa New Zealand were recruited using maximum variation purposive sampling. In-depth individual face-to-face semi-structured interviews were audio-recorded, transcribed verbatim, and analysed using Interpretive Description. Inductive data analysis synthesised and contextualised data, creating a thematic framework that developed across interviews. Results All physiotherapy participants discussed concerns about culture and professionalism in private practice physiotherapy despite not being asked about these. Three themes were identified. \'Competitive business model and lack of collaboration\' - participants thought that competition between practices resulted in a lack of trust, collegiality, and collaboration, and pressure on clinicians to maintain income. \'(Un)professional behaviour\' - participants thought that physiotherapists were defensive and averse to scrutiny, resulting in reluctance to admit when they needed help, or to undertake peer review or seek second opinions. \'Lack of support and mentoring\' - the professional culture in private practice was perceived to reduce support and mentoring, with negative impacts that affected physiotherapists at all stages of career. Conclusion This exploratory qualitative study suggests that competition dominates communication and collaboration in private practice physiotherapy and may have wider implications for professionalism and the quality of patient care. Competitive business models and an aversion to scrutiny may reduce collegial interaction and professional behaviour.
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