Interprofessional education

跨专业教育
  • 文章类型: Journal Article
    背景:学生主导的诊所可以提供低成本的专业护理和实用的跨专业教育(IPE)机会。在澳大利亚,目前,提供神经发育评估的专业服务有限,这些评估将胎儿酒精谱系障碍(FASD)视为一种可能的结局.本研究的目的是了解学生在由学生领导的新型跨专业诊所中为怀疑或确认产前酒精暴露的儿童和青少年提供的经验。
    方法:在完成为期10周的诊所安置后,17名附属健康大学学生(11名职业治疗;6名心理学)参加了个人半结构化访谈。使用NVivo12进行自反性主题分析。
    结果:产生了四个主要主题:(1)跨专业实践是学生发展成为未来医疗保健专业人员的关键;(2)有意义的关系和学生的信念;(3)新颖的挑战测试了学生的安置能力;(4)主管对学习的态度和方法支持了学生的发展。
    结论:当前的研究表明,跨专业学生主导的神经发育诊所为学生提供了宝贵的IPE机会。
    BACKGROUND: Student-led clinics can provide low-cost speciality care and practical interprofessional education (IPE) opportunities. In Australia, there are currently limited speciality services available that provide neurodevelopmental assessments that consider fetal alcohol spectrum disorder (FASD) as one possible outcome. The aim of the current study was to understand student experiences in a novel interprofessional student-led clinic for children and adolescents with suspected or confirmed prenatal alcohol exposure.
    METHODS: Seventeen allied health university students (11 occupational therapy; 6 psychology) participated in individual semi-structured interviews following completion of a 10-week clinic placement. Reflexive thematic analysis was undertaken using NVivo12.
    RESULTS: Four main themes were generated: (1) Interprofessional practice a key for students\' development as future healthcare professionals; (2) Meaningful relationships and students\' belief they made a difference; (3) Novel challenges tested students\' capabilities on placement; and (4) Supervisor attitude and approach to learning supported student development.
    CONCLUSIONS: The current study demonstrated that the interprofessional student-led neurodevelopmental clinic provided a valuable IPE opportunity for students.
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  • 文章类型: Journal Article
    背景:随着以人为中心的护理(PCC)在全球范围内实施,高等教育机构(HEI)已经开始在实现这一转变方面发挥关键作用。在瑞典,然而,PCC的交付在医学中实施不一致,护理,职业治疗,和物理治疗研究计划。这种不一致的部分原因是整个HEI缺乏国家战略。项目主管负责其项目的PCC内容,所以他们的观点会影响PCC的教学方式。利用对高等教育项目主管的采访,我们的目标是通过探索话语和确定如何教授和学习PCC的主题来加深对实施PCC所需先决条件的理解。
    方法:我们根据对上述国家研究项目的项目负责人的访谈进行了语篇分析。话语可以被视为对身份的斗争。主体位置-即,话语指定人员担任学科的职位-指导我们对教师和学生在教学PCC中的学科职位的分析和识别。
    结果:这项研究在教学和学习PCC两个主要的拮抗方面展开,导致教师的四个主题位置和学生的四个相应的主题位置。首先,老师和学生被赋予了一个主题位置,作为变革推动者,走向更加平等的医疗保健,并被分配了一个主题位置,以应对他们无法改变的实际现实。第二,老师和学生被分配了一个体现特定职业身份的学科位置,导航和评估这些边界。同时,教师和学生都承担了一个需要专业间互动和共同创造以进行PCC教学的学科位置。
    结论:这项研究表明了围绕PCC在HEI中实施的话语张力,这些发现可以作为创建未来相关和高质量学习活动的基础。在将PCC纳入高等教育时,谈判多样化和共存观点以及建立专业间信任的过程至关重要,需要进一步探索。
    BACKGROUND: As person centred care (PCC) is being implemented globally, higher educational institutions (HEI) have begun to play a crucial part in enabling this transition. In Sweden, however, the delivery of PCC is inconsistently implemented in medicine, nursing, occupational therapy, and physiotherapy study programmes. This inconsistency is partly the result of a lack of a national strategy across HEI. Program directors are responsible for the PCC content of their programs, so their views influence how PCC is taught. Using interviews with programme directors in higher education, we aim to deepen the understanding of the preconditions needed to implement PCC by exploring discourses and identifying subject positions of how PCC is taught and learned.
    METHODS: We performed a discourse analysis based on interviews with program directors in the above-mentioned national study programmes. A discourse can be seen as a struggle over identity. The subject position - i.e., discourses designate positions for persons to occupy as subjects - guided our analysis and identification of the subject positions of the teacher and the student in teaching and learning PCC.
    RESULTS: This study unfolded in two main antagonistic aspects with respect to teaching and learning PCC, resulting in four subject positions for the teacher and four corresponding subject positions for the students. First, the teacher and student were given a subject position as change agents towards a more egalitarian healthcare and were assigned a subject position to cope with a practical reality they could not change. Second, the teacher and student were assigned a subject position that embodied profession-specific identities, navigating and valuing these boundaries. Simultaneously, both teachers and students assumed a subject position that required interprofessional interaction and co-creation for teaching and learning PCC.
    CONCLUSIONS: This study demonstrates the discursive tension surrounding the implementation of PCC in HEI, and the findings can serve as a basis for creating future relevant and high-quality learning activities. The process of negotiating diverse and co-existing perspectives as well as building interprofessional trust when incorporating PCC into higher education is essential and requires further exploration.
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  • 文章类型: Journal Article
    该手稿回顾了巴西遗传学和基因组学人力资源教学和培训的最新技术。我们介绍了在医学本科和其他健康课程中教授遗传学的国家方案。我们讨论了通过医学住院医师对医学遗传学家的培训,并讨论了遗传学以外专业的医师的遗传学培训。我们通过latosensu和strictosensu研究生课程检查了专门研究遗传学的卫生专业人员的培训,并提出了目前在该国讨论的遗传咨询,遗传学和基因组学领域的多专业住院医师的建议。最后,我们强调了对初级卫生保健专业人员进行有关遗传学和基因组学方面的培训的重要性,以便在巴西统一卫生系统中有效建立针对患有遗传疾病的个人的护理线.因此,我们提供了一个全面的概述遗传学是如何(或不)纳入专业培训在一个全面的公共医疗系统,如巴西.
    This manuscript reviewed the state of the art about the teaching and training of human resources for genetics and genomics in Brazil. We presented the national scenario of teaching genetics in medical undergraduate and other health courses. We discussed the training of medical geneticists through medical residency and addressed the training in genetics of physicians from specialties other than genetics. We examined the training of health professionals specializing in genetics through lato sensu and stricto sensu postgraduate programs and presented the proposals for multi-professional residency in genetic counseling and genetics and genomics that are currently the subject of discussion in the country. Finally, we highlighted the importance of training primary health care professionals concerning genetics and genomics for the effective establishment of a line of care for individuals with genetic disorders in the Brazilian Unified Health System. Therefore, we provided a thorough overview of how genetics is (or is not) incorporated into professional training in a comprehensive public healthcare system such as the Brazilian.
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  • 文章类型: Journal Article
    UNASSIGNED: Effective communication within a medical team is crucial not only because it results in higher job satisfaction and better joint decision-making among team members, but also because, ultimately, it makes for high-quality, patient-centered care. Since the transition to the clinical phase of study poses a challenge for many medical students, the University of Lübeck introduced \"Ich im Team\" (me as team member), a German-language communication workshop for third-year medical students, in the 2020/21 winter semester.
    UNASSIGNED: The workshop forms a basis for future collaboration and is meant to strengthen the interpersonal skills needed for working in teams, communicating with patients, and supporting a no-blame culture.
    UNASSIGNED: This workshop, which incorporates elements of improvisational theater and coaching, was offered for the first time in 2020/21. Due to the positive evaluations, it has been a required component of the curriculum since the 2021/22 winter semester.
    UNASSIGNED: The students have accepted the workshop very well, which is reflected in the excellent evaluations of it. Furthermore, a research study carried out during the first two times the workshop was conducted showed, among other things, directly positive effects on the ability to work in interprofessional teams and handle mistakes.
    UNASSIGNED: The workshop offers students a solid point of entry into the clinical setting and an awareness of their own role on a given team. Covering the content in more depth and the possible inclusion of other study programs are being discussed.
    UNASSIGNED: Eine effektive Kommunikation in Behandler-Teams ist von entscheidender Bedeutung, da sie nicht nur zu einer höheren Arbeitszufriedenheit der Teammitglieder und einer besseren gemeinsamen Entscheidungsfindung, sondern letztendlich zu einer qualitativ hochwertigen und patientenzentrierten Versorgung führt. Da der Übergang in den klinischen Studienabschnitt für viele Medizinstudierende eine Herausforderung darstellt, führte die Universität zu Lübeck im Wintersemester 2020/2021 einen Kommunikationsworkshop „Ich im Team“ für die Medizinstudierenden im 3. Studienjahr ein.
    UNASSIGNED: Der Workshop schafft durch die Auseinandersetzung mit der eigenen Rolle im Team eine Basis für die spätere Zusammenarbeit und soll zwischenmenschliche Kompetenzen wie Teamfähigkeit, Patientenkommunikation und Fehlermanagement stärken.
    UNASSIGNED: Der Workshop mit Elementen des Improvisationstheaters und Coachings wurde 2020/21 erstmalig angeboten. Aufgrund der positiven Evaluationsergebnisse ist er seit dem Wintersemester 2021/2022 verpflichtender Bestandteil des Curriculums.
    UNASSIGNED: Die Studierenden haben den Workshop sehr gut angenommen, was sich in den exzellenten Evaluationsergebnissen widerspiegelt. Eine wissenschaftliche Begleitstudie während der ersten beiden Durchgänge zeigte zudem unmittelbare positive Effekte u.a. auf die interprofessionellen Teamfähigkeiten und den Umgang mit Fehlern.
    UNASSIGNED: Die Workshops bieten für die Studierenden einen guten Einstieg in die Klinik und eine Sensibilisierung für ihre eigene Rolle in Teams. Eine inhaltliche Vertiefung und die Möglichkeit weitere Studiengänge zu beteiligen, werden diskutiert.
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  • 文章类型: Journal Article
    UNASSIGNED: The care of women and their families around childbirth requires effective interprofessional collaboration of the midwifery and medical profession. Given the academisation of midwifery, early interaction between students of midwifery and medicine is both necessary and feasible. As there is a lack of comprehensive data on interprofessional education (IPE) for midwifery and medical students at higher education institutions in Germany, Austria, and Switzerland (DACH region), the aim was to identify existing IPE activities, and their curricular determination.
    UNASSIGNED: The exploratory study was conducted in the DACH region over three months (Dec. 2022-Feb. 2023). Higher education institutions offering midwifery science and/or medicine were invited to participate in a web-based survey. The questionnaire focused on the structure and curricular implementation of IPE courses, on cooperation, financial support and more.
    UNASSIGNED: A total of 58 out of 96 invited institutions (60%) participated in the survey, of which 34 (59%) offered IPE. Eighteen institutions (19%) offered 32 IPE courses for midwifery and medical students through cooperation within faculty (n=8) and between faculties (n=10). Notably, most of these IPE courses (60%) were integrated into the required curriculum of both study programmes. Most IPE courses were offered without financial support (71%).
    UNASSIGNED: The current status quo highlighted the existence of numerous IPE offers for midwifery and medical students in the DACH region that warrant further curricular integration of proven and well-established best practice examples to further enhance these initiatives.
    UNASSIGNED: Die Versorgung von Frauen und ihren Familien rund um die Geburt erfordert eine intensive Zusammenarbeit von Hebammen und Ärzt*innen. Die Akademisierung des Hebammenberufs hat die Möglichkeit geschaffen, dass Studierende der Hebammenwissenschaft und der Medizin bereits während des Studiums in Kontakt kommen können. Da es bisher für Deutschland, Österreich und die Schweiz (DACH-Region) keine umfassende Datenlage zum Stand interprofessionellen Lernens (IPL) für Medizin- und Hebammenwissenschaftsstudierende gibt, war das Ziel der vorliegenden Studie, die Erfassung ebendieser Aktivitäten und deren curricularer Verankerung.
    UNASSIGNED: Die explorative Studie wurde in der DACH-Region über einen Zeitraum von drei Monaten (Dez. 2022-Feb. 2023) durchgeführt. Hochschulen, die die Studiengänge Hebammenwissenschaft und/oder Medizin anbieten, wurden eingeladen an der Online-Befragung teilzunehmen. Der Fragebogen fokussierte die Struktur, curriculare Verankerung, zugrundeliegende Kooperationen, Finanzierung und weitere Aspekte der interprofessionellen Lehr-Lern-Angebote.
    UNASSIGNED: Insgesamt beteiligten sich 58 von 96 eingeladenen Hochschulen (60%) an der Umfrage, von denen 34 (59%) angaben, IPL anzubieten. Auf 18 dieser Hochschulen (19%) verteilten sich 32 interprofessionelle Kursangebote, die für Hebammenwissenschafts- und Medizinstudierende gestaltet waren, entweder durch Kooperationen innerhalb der Fakultät (n=8) oder zwischen Fakultäten (n=10). Der Großteil der Angebote war in beiden Studiengängen im Pflichtcurriculum verankert (60%). Die meisten Kurse wurden nicht finanziell unterstützt (71%).
    UNASSIGNED: Die Bestandsaufnahme verdeutlicht eine Vielzahl von interprofessionellen Lehr-Lernangeboten für Hebammenwissenschafts- und Medizinstudierende in der DACH-Region. Die Betrachtung von Best-Practice-Beispielen kann dabei helfen, die Initiativen in der gesamten Region weiterzuentwickeln und flächendeckend curricular zu verankern.
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  • 文章类型: Journal Article
    背景:初级卫生保健中的协作实践提高了护理质量和安全性。在法国,初级卫生保健专业人员越来越多地合作。全科医生(GP)和社区药剂师(CPs)之间的联系是一个重要因素。然而,GP和CP之间的有效合作很难发展和形式化。跨专业教育已被确定为准备“协作实践准备的专业人员”的必要步骤。我们旨在确定去年GP和CP学生的跨专业培训需求,以发展跨专业合作。
    方法:我们使用受职业教学法启发的方法对培训需求进行了分析。我们在2022年通过对CP和GP的个人半指导访谈收集了数据。在每个阶段,我们旨在确定职业教学法的要素,以参考框架的形式推断培训需求:表观能力,象征性的情况和行为特征。我们进行了初步的演绎主题分析,以确定这两个职业的明显能力,使用这些能力的象征性情况,以及在这些情况下使用的表演特征。我们进行了归纳分类,以定义协作能力和情境家族,并对这种GP-CP协作的行为进行建模。
    结果:我们定义了“在跨专业环境中有效协作,以便在各种专业情况下应对个人领域中的护理问题”的能力。我们通过基于两种相互作用的动力的三种能力来描述它:一次性交流和结构化合作。各种通信工具有助于实现这些交互。我们以概念图的形式对GP-CP协作的行为进行了建模。
    结论:CP和GP之间的合作实现了一种可以整合到其专业参考中的能力。这种能力,题为“在跨专业环境中有效合作,以应对一个人所在地区的护理问题”,表现在各种专业情况下。它基于两个平行和相互作用的动态:一次性交流和持久合作的动态。因此,这项研究为全科医生和药房居民之间这种协作技能的发展奠定了基础。
    BACKGROUND: Collaborative practice in primary health care increases care quality and security. In France, primary health care professionals increasingly work together. The link between general practitioners (GPs) and community pharmacists (CPs) is an important element. Nevertheless, effective collaboration between GPs and CPs is difficult to develop and formalize. Interprofessional education has been identified as a necessary step to prepare \"collaborative practice-ready professionals\". We aimed to identify the interprofessional training needs of last-year GP and CP students to develop interprofessional collaborations.
    METHODS: We conducted an analysis of training needs using a method inspired by occupational didactics. We collected data through individual semidirective interviews with CPs and GPs in 2022. At each stage we aimed to identify the elements of the occupational didactics to deduce the training needs in the form of a frame of reference: apparent competencies, emblematic situations and acting characteristics. We conducted an initial deductive thematic analysis to identify the apparent competencies of the two professions, the emblematic situations in which these competencies are used, and the acting characteristics used in these situations. We made an inductive categorization to define the collaborative competence and the families of situations and to model the actions of this GP-CP collaboration.
    RESULTS: We defined the competency \"to collaborate effectively in an interprofessional setting in order to respond to care issues in one\'s territory\" expressed in various professional situations. We described it by three capacities based on two interacting dynamics: one-off exchanges and structured collaborations. Various communication tools facilitate the implementation of these interactions. We modeled the actions of the GP-CP collaboration in the form of a conceptual map.
    CONCLUSIONS: The collaboration between the CP and the GP implements a competency that could be integrated into their professional referential. This competency, entitled \"collaborating effectively in interprofessional settings to respond to care issues in one\'s territory\", is expressed in a variety of professional situations. It is based on two parallel and interacting dynamics: one-off exchanges and a dynamic of lasting collaboration. This study thus lays the groundwork for the development of this collaborative skill among general practice and pharmacy residents.
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  • 文章类型: Journal Article
    目的:描述学生药剂师在参加1型糖尿病(T1D)儿科夏令营的跨专业介绍性药学实践(IPPE)期间患者护理流程(PPCP)的应用。
    方法:进入专业二年级(P2)和三年级(P3)的学生药剂师参加了一个星期,作为2021年6月至2023年7月之间的纵向IPPE课程的一部分,过夜T1D夏令营。他们完成了两次PPCP任务,反思任务和经验后的自我评估。
    结果:37名学生参加了夏令营。提交的最常见的PPCP任务对应于协作核心能力(75.6%)和实施(51.4%)和收集(27.0%)步骤。书面反思表明学生了解了糖尿病的治疗监测,低血糖和高血糖管理,胰岛素剂量调整,和生活方式策略,如碳水化合物计数。许多学生表示对T1D患者的同理心(59.5%)和灵感(56.8%)增加。学生积极反映他们与跨专业团队合作的经验。自我评价表明在PPCP的所有步骤和核心领域都有能力,尤其是在沟通方面。
    结论:总体而言,学生的反馈表明,将营地作为非传统的药学实践场所,通过参与和跨专业决策机会,在患者护理中提供了应用PPCP的充分机会。我们的研究结果表明,营地提供了参与涵盖PPCP每个步骤和核心组成部分的活动的能力。沉浸在营地环境中,使早期学习者能够胜任参与PPCP并与患者和医疗保健专业人员进行沟通的能力。
    结论:参加T1D夏令营为早期学生药剂师提供了直接的患者护理和在跨专业教育环境中应用PPCP的机会。学生学习临床糖尿病知识和技能,除了增加同理心和灵感的感觉。学生在与患者沟通的能力上感到非常胜任,药剂师,和其他医疗保健提供者。
    OBJECTIVE: To describe student pharmacist\'s application of the Pharmacists\' Patient Care Process (PPCP) during participation in an interprofessional introductory pharmacy practice experience (IPPE) at a Type 1 Diabetes (T1D) pediatric summer camp.
    METHODS: Student pharmacists entering professional year two (P2) and three (P3) attended a one-week, overnight T1D summer camp as part of the longitudinal IPPE curriculum between June 2021 and July 2023. They completed two PPCP assignments, a reflective assignment and a self-evaluation following the experience.
    RESULTS: Thirty-seven students attended camp. The most common PPCP assignments submitted corresponded to the collaborate core competency (75.6%) and the implement (51.4%) and collect (27.0%) steps. Written reflections revealed students learned about therapeutic monitoring of diabetes, hypoglycemia and hyperglycemia management, insulin dose adjustment, and lifestyle strategies such as carbohydrate counting. Many students expressed feeling increased empathy (59.5%) and inspiration (56.8%) toward individuals with T1D. Students reflected positively on their experience working with an interprofessional team. Self-evaluations indicated perceived competency in all steps and core areas of the PPCP, especially in communication.
    CONCLUSIONS: Overall, student feedback indicates inclusion of camp as a non-traditional pharmacy practice site provides ample opportunity to apply the PPCP through participation and interprofessional decision-making opportunities in patient care. Our findings demonstrate camp provided the ability to partake in activities that encompass every step and core component of the PPCP. Immersion in the camp environment allowed early learners to feel competent in their ability to engage in the PPCP and communicate with patients and healthcare professionals.
    CONCLUSIONS: Participation in a T1D summer camp provided early student pharmacists exposure to direct patient care and opportunity to apply the PPCP in an interprofessional education environment. Students learned clinical diabetes knowledge and skills, in addition to increased empathy and a feeling of inspiration. Students felt highly competent in their ability to communicate with patients, pharmacists, and other healthcare providers.
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  • 文章类型: Journal Article
    背景:跨专业教育(IPE)有可能塑造学生的合作感知和跨专业身份,但仍未得到充分研究。这项研究旨在了解IPE计划作为情境触发因素的影响,以促进医疗保健专业学生之间的协作感知变化和跨专业身份形成。
    方法:使用并发三角测量混合方法,我们研究了健康专业学生(N=263)的合作感知与跨专业身份变化之间的关系,并探讨了他们对IPE经历如何影响他们的感知和身份的看法。参与者完成了跨学科教育感知量表和扩展专业认同量表,并在IPE干预前后回答了开放式问题。皮尔森的相关性,t检验,回归(定量),并进行了专题分析(定性)。
    结果:最初具有较低协作感知(M=3.59)和较低跨专业认同感(M=3.59)的团队在参加IPE后显示出协作感知(M=3.76,t=2.63;p=.02)和跨专业认同感(M=3.97,t=4.86;p<.001)的显著增加。参与IPE后,协作感知与跨专业认同之间的正相关关系得到加强,从相关性(时间1:r=.69;p<.001;时间2:r=.79;p<.001)可以明显看出。此外,时间1的协作感知显着预测了时间2的职业间认同的方差(β=0.347,p<.001)。定性调查结果表明,85.2%的学生表示IPE在促进他们的跨专业身份和合作态度方面发挥了作用。
    结论:将IPE课程纳入课程可以有效增强学生的协作感知和跨专业认同感,最终为医疗保健系统的协作实践做好准备。通过让学生参与跨专业的团队合作,通信,和联合决策过程,IPE计划为学生提供了宝贵的背景,以培养对跨专业合作的归属感和承诺。
    BACKGROUND: Interprofessional education (IPE) has the potential to shape students\' collaboration perception and interprofessional identity but remains understudied. This study aims to understand the effects of the IPE program as a contextual trigger to promote collaboration perception change and interprofessional identity formation among healthcare professional students.
    METHODS: Using concurrent triangulation mixed-methods, we examined the relationship between collaboration perception and interprofessional identity change among health profession students (N = 263), and explored their perspectives on how their IPE experiences influenced their perception and identity. Participants completed the Interdisciplinary Education Perception Scale and Extended Professional Identity Scale and responded to open-ended questions before and after the IPE intervention. Pearson\'s correlation, t-tests, regression (quantitative), and thematic analysis (qualitative) were conducted.
    RESULTS: Teams with initially lower collaboration perception (M = 3.59) and lower interprofessional identity (M = 3.59) showed a significant increase in collaboration perception (M = 3.76, t = 2.63; p = .02) and interprofessional identity (M = 3.97, t = 4.86; p < .001) after participating in IPE. The positive relationship between collaboration perception and interprofessional identity strengthened after participating in IPE, as evident from the correlation (Time 1: r = .69; p < .001; Time 2: r = .79; p < .001). Furthermore, collaboration perception in Time 1 significantly predicted the variance in interprofessional identity at Time 2 (β = 0.347, p < .001). Qualitative findings indicated that 85.2% of students expressed that IPE played a role in promoting their interprofessional identity and collaboration attitudes.
    CONCLUSIONS: Incorporating the IPE program into the curriculum can effectively enhance students\' collaboration perception and interprofessional identity, ultimately preparing them for collaborative practice in the healthcare system. By engaging students in interprofessional teamwork, communication, and joint decision-making processes, the IPE program provides a valuable context for students to develop a sense of belonging and commitment to interprofessional collaboration.
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  • 文章类型: Journal Article
    为什么,在忍受医学院的艰苦要求并成功完成临床前课程之后,学生必须进一步负担自己4-8周的考试准备执照考试,而不是从事有意义的,对USMLEStep1和COMLEX-USALevel1等许可考试的不懈关注将注意力从真正重要的活动中转移出来,比如直接病人护理,社区服务,研究,和跨专业教育。成千上万的医学生被限制在数周的孤立学习中,审查教科书等综合资源,在线课程,并对临床前课程中已经涵盖和测试的内容进行提问。这代表了一个重要的时间槽,否则可以用来提高临床技能,同理心,和社会责任。动手临床经验对于发展实践技能和建立牢固的医患关系至关重要,而社区服务培养社会责任。研究参与对医学进步至关重要,跨专业教育和全球卫生倡议拓宽了学生的视野。尽管被视为能力衡量标准,这些许可考试是重复的,专注于已经掌握的内容,未能证明他们大量的时间需求。我们主张重新评估这些考试的必要性,倡导一种优先考虑现实世界经验的教育系统。这种转变将培养有能力的人,善解人意,和有社会意识的医疗保健专业人员,准备产生重大的社会影响。
    Why, after enduring the grueling demands of medical school and successfully completing the pre-clinical curriculum, must students further burden themselves with 4-8 weeks of exam preparation for the licensing exam instead of engaging in meaningful, real-world experiences? The relentless focus on licensing exams like the USMLE Step 1 and COMLEX-USA Level 1 diverts attention from activities that truly matter, such as direct patient care, community service, research, and interprofessional education. Tens of thousands of medical students are confined to weeks of isolated study, reviewing comprehensive resources such as textbooks, online courses, and question banks on content already covered and tested during the pre-clinical curriculum. This represents a significant time sink that could otherwise be used to enhance clinical skills, empathy, and social responsibility. Hands-on clinical experiences are essential for developing practical skills and building strong patient-doctor relationships, while community service fosters social responsibility. Research engagement is crucial for medical advancements, and interprofessional education and global health initiatives broaden students\' perspectives. Despite being viewed as competency measures, these licensing exams are repetitive and focus on already-mastered content, failing to justify their extensive time demands. We argue for a reassessment of the necessity of these exams, advocating for an education system that prioritizes real-world experiences. This shift would foster competent, empathetic, and socially conscious healthcare professionals, poised to make a significant societal impact.
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  • 文章类型: Journal Article
    跨专业教育(IPE)和一个健康是教学协作实践的两个常见和重叠的框架。IPE在人类医疗机构很常见,而OneHealth在研究生和兽医课程中更为常见。IPE与OneHealth之间的联系仍在奖学金和现实世界的专业环境中进行探索。这个未来,定性研究在作为临床和转化科学奖(CTSA)之一健康联盟(COHA)成员的机构中考察了IPE和一个健康的交集。COHA由兽医学校组成,通过美国国立卫生研究院CTSA资助机制与医疗机构合作,其具体目标是促进对人类和动物共有疾病的理解。对八个职业的专业人士进行了24次采访。受试者指出,IPE教育的一些最大障碍是意识,可访问性,功效,和课堂之外的实施。跨多个机构的能力和一致的,值得注意的是,缺乏经过验证的评估工具。采访强调,在医疗行业中,IPE和OneHealth缺乏共同的心理模型,专业课程实施的主要障碍,以及将IPE和OneHealth与劳动力和全球挑战联系起来的脱节。该领域的未来工作可能集中在评估COHA机构以外的IPE和OneHealth产品上,对IPE和OneHealth的部署方式进行了更全面的了解。可以通过在课程中采用IPE原则和做法来实施“一个健康”。这项研究对于教育其他人当前的应用至关重要,角色,以及“一个健康”和“IPE”的定义。这项工作的最终目标是帮助培养人类和动物医学的跨学科领导者,他们将具备解决系统性问题的技能。
    Interprofessional Education (IPE) and One Health are two common and overlapping frameworks for teaching collaborative practice. IPE is common at human medical institutions, while One Health is more common in graduate and veterinary programs. The connection between IPE and One Health is still being explored both in scholarship and in real-world professional settings. This prospective, qualitative research study examines the intersection of IPE and One Health at institutions that are members of the Clinical and Translational Science Award (CTSA) One Health Alliance (COHA). COHA consists of veterinary schools partnered with medical institutions through the National Institutes of Health CTSA funding mechanism with the specific goal of advancing the understanding of diseases shared by humans and animals. Twenty-four interviews were conducted with professionals across eight professions. Subjects noted that some of the biggest barriers to IPE education were awareness, accessibility, efficacy, and implementation beyond the classroom. Competency across multiple institutions and a consistent, validated evaluation tool were noted to be lacking. Interviews highlighted a lack of a shared mental model for IPE and One Health across the medical professions, major hurdles for implementation in professional curricula, and a disconnection between bridging IPE and One Health to the workforce and global challenges. Future work in this area may be focused on assessing the IPE and One Health offerings beyond COHA institutions, giving a more holistic understanding on how IPE and One Health are being deployed. One Health can be operationalized through the adoption of IPE principles and practices into curriculum. This research is critical to educate others on current applications, role, and definitions of One Health and IPE. The ultimate goal of this work is to help cultivate transdisciplinary leaders in the human and animal medicine who will have the skills to solve systemic problems.
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