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评论:非医师医学教育工作者的工作:为何我们需要历史背景、概念模型、培训细节和证据。

Commentary: the work of nonphysician medical educators: why we need historical context, conceptual models, training details, and evidence.

作者信息

Shea Judy A

机构信息

Penn Medicine, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA.

出版信息

Acad Med. 2009 Aug;84(8):982-4. doi: 10.1097/ACM.0b013e3181ad1ac9.

DOI:10.1097/ACM.0b013e3181ad1ac9
PMID:19638759
Abstract

"The nonphysician medical educator" by Riesenberg and colleagues includes three topics: the history of medical education, the participation of nurses and allied health professionals as medical educators, and the growth of medical education programs. Each introduced a set of questions deserving further inquiry that might be categorized into the following themes: defining history, linking to conceptual models, cataloguing master's programs, and establishing evidence. In terms of history, it is useful to look at the broader context of the early 20th century and reflect on why physicians reached out to nonphysician educators. Riesenberg and colleagues' illustrative review of teaching by nurses and allied health professionals raised multiple interesting possibilities for linking to conceptual models stemming from, for example, communication, teamwork, and coteaching theories. Regarding the multitude of master's in medical education programs and certificates, perhaps it is time to develop and maintain a listing of programs with detailed descriptions of target audiences and curricula. Finally, there are multiple ways that the observations made by Riesenberg and colleagues might be better informed by data. Why is there not more literature that documents the importance of and contributions by nonclinician nonphysician educators? Several potential reasons are provided. Overall, the message that clinical nonphysicians can be successful educators came through loud and clear.

摘要

里森伯格及其同事所著的《非医师医学教育工作者》包含三个主题:医学教育的历史、护士及其他健康专业人员作为医学教育工作者的参与情况,以及医学教育项目的发展。每个主题都引出了一系列值得进一步探究的问题,这些问题可归为以下几个主题:界定历史、与概念模型建立联系、编制硕士项目目录以及确立证据。在历史方面,审视20世纪初的更广泛背景并思考医师为何向非医师教育工作者寻求帮助是很有意义的。里森伯格及其同事对护士及其他健康专业人员教学情况的示例性综述提出了多种有趣的可能性,可与源自例如沟通、团队合作和共同教学理论的概念模型建立联系。关于众多医学教育硕士项目和证书,或许是时候编制并维护一份项目清单了,清单要详细描述目标受众和课程设置。最后,有多种方式可以用数据更好地为里森伯格及其同事的观察提供信息。为何记录非临床非医师教育工作者的重要性和贡献的文献如此之少?文中给出了几个潜在原因。总体而言,临床非医师可以成为成功教育工作者这一信息清晰明了。

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