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平衡放射科住院医师培训中的临床服务与教育

Balancing clinical service and education in the radiology residency.

作者信息

Huang Brady K, Lubner Meghan, Resnik Charles S

机构信息

Department of Imaging Sciences, University of Rochester Medical Center, 601 Elmwood Avenue, Box 648, Rochester, NY 14642, USA.

出版信息

Acad Radiol. 2009 Sep;16(9):1161-5. doi: 10.1016/j.acra.2009.03.005. Epub 2009 Apr 25.

Abstract

RATIONALE AND OBJECTIVES

Among the various medical disciplines, the radiology residency faces unique challenges when balancing clinical service and education, which have not been explored in the literature.

MATERIALS AND METHODS

The authors present a summary of material generated during collaborative sessions at the 56th Annual Meeting of the Association of University Radiologists in Seattle, Washington, in March 2008, including strategies on maintaining an appropriate emphasis on education in the face of increasing service obligations, with a review of the pertinent literature.

RESULTS

Although the topic of service and education has been explored in the medical and surgical literature, little has been published in the radiology literature. The portability of radiology and the relative lack of patient contact can lead to the redistribution of residents as a matter of convenience to fill service gaps, often at the expense of the educational goals of training programs. Residents and faculty members alike must take part in both service and educational obligations without compromising patient care. Physician extenders, call schedule optimization, and other strategies and resources can help ensure that a proper balance is maintained.

CONCLUSION

The radiology residency presents unique challenges to the service and education balance. The authors highlight several strategies to address these challenges.

摘要

原理与目标

在众多医学学科中,放射科住院医师培训项目在平衡临床服务与教育方面面临着独特的挑战,而相关文献对此尚未进行探讨。

材料与方法

作者总结了2008年3月在华盛顿州西雅图市举行的第56届大学放射科医师协会年会上协作会议期间产生的材料,包括在面对日益增加的服务义务时保持对教育适当重视的策略,并对相关文献进行了综述。

结果

尽管服务与教育的话题已在医学和外科文献中有所探讨,但放射学文献中对此的报道较少。放射学的可转移性以及相对较少的患者接触可能导致住院医师为了方便填补服务缺口而重新分配,这往往以牺牲培训项目的教育目标为代价。住院医师和教员都必须履行服务和教育义务,同时不影响患者护理。医师助理、优化值班安排以及其他策略和资源有助于确保维持适当的平衡。

结论

放射科住院医师培训项目在服务与教育平衡方面面临独特挑战。作者强调了应对这些挑战的几种策略。

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