Drexel University College of Medicine, Philadelphia, PA 19129, USA.
Med Teach. 2012;34(4):285-91. doi: 10.3109/0142159X.2012.660215.
Few formal educational programs are available in the United States to assist physicians wishing to return to medical practice after clinical inactivity. Little published data on physicians who complete these programs exist. We describe the Drexel Medicine Physician Reentry/Refresher course and present our findings on participant demographics, performance, and goal attainment following course completion.
Physician self-assessment, future career goals, recommendations of referring organizations, and a quantitative assessment of knowledge and skills were used to create individualized learning objectives and physician's curriculum. Initial assessment included demonstration of clinical skills using standardized patients and medical knowledge using the National Board of Medical Examiners Comprehensive Clinical Medicine Self-Assessment Examination. Progress in knowledge and clinical skills was measured by repeat assessment at course completion. We questioned physicians 3 months after course completion to determine if initial goals were attained.
Thirty-six physicians completed the program from November 2006 through November 2010. Most physicians demonstrated significant improvement in core clinical skills and knowledge at the end of the course. All physicians who sought employment, hospital privileges, and refreshing skills as initial goals were successful.
The Drexel Medicine Physician Reentry/Refresher course provides a unique model for successfully returning inactive physicians to clinical practice.
在美国,几乎没有专门为那些希望在临床活动停止后重新开始行医的医生提供的正规教育课程。目前关于完成这些课程的医生的数据也很少。我们描述了德雷塞尔医学医师再入职/进修课程,并介绍了我们在课程完成后对参与者的人口统计学、表现和目标达成情况的发现。
医生的自我评估、未来的职业目标、推荐机构的建议,以及对知识和技能的定量评估,都被用来制定个性化的学习目标和医生的课程。初始评估包括使用标准化患者演示临床技能,以及使用国家医学考试委员会综合临床医学自我评估考试来评估医学知识。在课程结束时通过重复评估来衡量知识和临床技能的进步。我们在课程结束后 3 个月询问医生,以确定最初的目标是否达成。
2006 年 11 月至 2010 年 11 月,有 36 名医生完成了该课程。大多数医生在课程结束时核心临床技能和知识显著提高。所有最初以寻求就业、医院特权和技能更新为目标的医生都取得了成功。
德雷塞尔医学医师再入职/进修课程为使不活跃的医生成功重返临床实践提供了独特的模式。