Awad Samir S, Hayley Barbara, Fagan Shawn P, Berger David H, Brunicardi F Charles
Michael E. DeBakey Department of Surgery, Houston Veterans Affairs Medical Center, Baylor College of Medicine, Surgical Service (112), 2002 Holcombe Blvd., Houston, TX 77030, USA.
Am J Surg. 2004 Nov;188(5):481-4. doi: 10.1016/j.amjsurg.2004.07.024.
Today's complex health care environment coupled with the 80-hour workweek mandate has required that surgical resident team interactions evolve from a military command-and-control style to a collaborative leadership style.
A novel educational curriculum was implemented with objectives of training the residents to have the capacity/ability to create and manage powerful teams through alignment, communication, and integrity integral tools to practicing a collaborative leadership style while working 80 hours per week. Specific strategies were as follows: (1) to focus on quality of patient care and service while receiving a high education-to-service ratio, and (2) to maximize efficiency through time management.
This article shows that leadership training as part of a resident curriculum can significantly increase a resident's view of leadership in the areas of alignment, communication, and integrity; tools previously shown in business models to be vital for effective and efficient teams.
This curriculum, over the course of the surgical residency, can provide residents with the necessary tools to deliver efficient quality of care while working within the 80-hour workweek mandate in a more collaborative style environment.
当今复杂的医疗环境，再加上每周80小时的工作时间规定，要求外科住院医师团队的互动方式从军事指挥控制型转变为协作领导型。
实施了一项新颖的教育课程，目标是培训住院医师具备通过协调、沟通和正直等不可或缺的工具来创建和管理高效团队的能力，以便在每周工作80小时的同时践行协作领导风格。具体策略如下：（1）在接受高教育服务比的同时，注重患者护理和服务质量；（2）通过时间管理提高效率。
本文表明，作为住院医师课程一部分的领导力培训能够显著提升住院医师在协调、沟通和正直方面的领导力认知；这些工具在商业模式中已被证明对高效团队至关重要。
在外科住院医师培训过程中，该课程能够为住院医师提供必要的工具，使其在每周80小时的工作时间规定内，以更协作的方式提供高效的优质护理。
