Aron D C, Headrick L A
Education Office 14(W), Louis Stokes Cleveland DVA Medical Center, 10701 East Blvd, Cleveland, OH 44106, USA.
Qual Saf Health Care. 2002 Jun;11(2):168-73. doi: 10.1136/qhc.11.2.168.
While most newly qualified physicians are well prepared in the science base of medicine and in the skills that enable them to look after individual patients, few have the skills necessary to improve care and patient safety continuously. We apply a systems analysis from the field of human error to identify ways in which medical school education can increase the number of graduates prepared to reflect on and improve professional practice. Doing so requires a systematic approach involving entrance requirements, the curriculum, the organizational culture of training environments, student assessment, and program evaluation.
虽然大多数刚获得资格的医生在医学科学基础以及照顾个体患者的技能方面准备充分,但很少有人具备持续改善医疗护理和患者安全所需的技能。我们运用人类失误领域的系统分析方法,来确定医学院教育可以通过哪些方式增加准备反思和改进专业实践的毕业生数量。这样做需要一种系统的方法,涉及入学要求、课程设置、培训环境的组织文化、学生评估以及项目评价。