Glasheen Jeffrey J, Siegal Eric M, Epstein Kenneth, Kutner Jean, Prochazka Allan V
Internal Medicine Residency Training Program, University of Colorado Denver School of Medicine, Aurora, CO, USA.
J Gen Intern Med. 2008 Jul;23(7):1110-5. doi: 10.1007/s11606-008-0646-5.
Categorical internal medicine (IM) residency training has historically effectively prepared graduates to manage the medical needs of acutely ill adults. The development of the field of hospital medicine, however, has resulted in hospitalists filling clinical niches that have been traditionally ignored or underemphasized in categorical IM training. Furthermore, hospitalists are increasingly leading inpatient safety, quality and efficiency initiatives that require understanding of hospital systems, multidisciplinary care and inpatient quality assessment and performance improvement. Taken in this context, many graduating IM residents are under-prepared to practice as effective hospitalists. In this paper, we outline the rationale for targeted training in hospital medicine and discuss the content and methods for delivering this training.
传统上，内科住院医师培训有效地使毕业生能够满足成年急症患者的医疗需求。然而，医院医学领域的发展使得住院医师填补了内科住院医师培训中传统上被忽视或未得到充分重视的临床细分领域。此外，住院医师越来越多地引领住院患者安全、质量和效率方面的工作，而这些工作需要了解医院系统、多学科护理以及住院患者质量评估和绩效改进。在这种背景下，许多即将毕业的内科住院医师在成为有效的住院医师方面准备不足。在本文中，我们概述了开展医院医学针对性培训的基本原理，并讨论了提供此类培训的内容和方法。
