Weinreb Jeffrey C, Wilcox Pamela A
Yale University School of Medicine, Department of Radiology, New Haven, Connecticut, USA.
J Am Coll Radiol. 2004 Jul;1(7):510-5. doi: 10.1016/j.jacr.2004.02.002.
The quality of care is attracting increasing attention from payers, regulators, and consumers. The assumption that training, education, and experience are major determinants of quality and safety permeates the health care delivery system. However, the relationship between quality and training, education, and experience is neither straightforward nor well documented, particularly for the practice of radiology. A recent Institute of Medicine report questioned the effectiveness of the existing system for the education and training of health care professionals. In this article, "quality" in radiology is defined, and evidence for a relationship between quality care and experience and traditional continuing medical education is reviewed. Alternative approaches to education and training, with an emphasis on systems rather than individuals, are elucidated. The nature of radiologist training, education, and experience should be reexamined and adjusted to meet the changing demands of the health care delivery system.
医疗质量正吸引着支付方、监管机构和消费者越来越多的关注。认为培训、教育和经验是质量与安全的主要决定因素这一假设贯穿于医疗服务体系之中。然而，质量与培训、教育和经验之间的关系既不直接，记录也不完善，尤其是在放射学实践方面。医学研究所最近的一份报告对现有医疗专业人员教育和培训体系的有效性提出了质疑。本文对放射学中的“质量”进行了定义，并回顾了优质护理与经验及传统继续医学教育之间关系的证据。阐明了强调系统而非个人的替代教育和培训方法。应重新审视和调整放射科医生培训、教育和经验的性质，以满足医疗服务体系不断变化的需求。
