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21世纪的医学教育工作者:个人视角

The medical educator in the 21st century: a personal perspective.

作者信息

Weinberger Steven

机构信息

American College ofPhysicians, 190 N. Independence Mall West, Philadelphia, PA 19106, USA.

出版信息

Trans Am Clin Climatol Assoc. 2009;120:239-48.

PMID:19768181
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2744562/
Abstract

Academic faculty involved in medical education are set apart from educators in other fields by a different set of expectations and responsibilities. For a subgroup of such faculty, classified in this paper as clinician educators and educational leaders, their role as educators typically defines their primary academic contribution and mode of professional advancement. A variety of environmental factors, classified under the categories of changes in the healthcare system, changes in the educational environment, changes in the educational approach, and faculty pressures, present a series of challenges to these medical educators and to other teaching faculty at the beginning of the 21st century. Ten such factors are identified in this article, followed by a series of suggested approaches for addressing these environmental challenges.

摘要

参与医学教育的学术教员与其他领域的教育工作者有着不同的期望和责任。对于这类教员中的一个子群体,在本文中归类为临床教育工作者和教育领导者,他们作为教育工作者的角色通常决定了他们主要的学术贡献和职业发展模式。在21世纪初,各种环境因素,归类为医疗保健系统的变化、教育环境的变化、教育方法的变化和教员压力,给这些医学教育工作者和其他教学教员带来了一系列挑战。本文确定了十个这样的因素,随后提出了一系列应对这些环境挑战的建议方法。

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本文引用的文献

1
Changing education to improve patient care.变革教育以改善患者护理。
Postgrad Med J. 2008 Aug;84(994):437-41. doi: 10.1136/qhc.100054.
2
Association of workload of on-call medical interns with on-call sleep duration, shift duration, and participation in educational activities.住院实习医生的值班工作量与值班睡眠时间、轮班时长及参与教育活动之间的关联。
JAMA. 2008 Sep 10;300(10):1146-53. doi: 10.1001/jama.300.10.1146.
3
Resident duty hours and the delicate balance between education and patient care.住院医师工作时长以及教育与患者护理之间的微妙平衡。
J Gen Intern Med. 2008 Jul;23(7):1120-1. doi: 10.1007/s11606-008-0671-4.
4
Pay-for-performance and accountability: related themes in improving health care.绩效薪酬与问责制:改善医疗保健的相关主题。
Ann Intern Med. 2006 Nov 7;145(9):695-9. doi: 10.7326/0003-4819-145-9-200611070-00013.
5
Does pay-for-performance improve the quality of health care?按绩效付费能提高医疗保健质量吗?
Ann Intern Med. 2006 Aug 15;145(4):265-72. doi: 10.7326/0003-4819-145-4-200608150-00006.
6
Early experience with pay-for-performance: from concept to practice.绩效薪酬的早期经验:从概念到实践。
JAMA. 2005 Oct 12;294(14):1788-93. doi: 10.1001/jama.294.14.1788.
7
Teaching and improving quality of care in a primary care internal medicine residency clinic.在基层医疗内科住院医师诊所开展教学并提高医疗质量
Acad Med. 2005 Jun;80(6):571-7. doi: 10.1097/00001888-200506000-00012.
8
Improving primary care for patients with chronic illness: the chronic care model, Part 2.改善慢性病患者的初级保健:慢性病照护模式,第2部分。
JAMA. 2002 Oct 16;288(15):1909-14. doi: 10.1001/jama.288.15.1909.
9
Improving primary care for patients with chronic illness.改善慢性病患者的初级护理。
JAMA. 2002 Oct 9;288(14):1775-9. doi: 10.1001/jama.288.14.1775.