Department of Orthopaedic Surgery, University of Minnesota, 701 Park Avenue South, Minneapolis, MN 55415, USA.
J Orthop Trauma. 2012 Sep;26 Suppl 1:S3-5. doi: 10.1097/BOT.0b013e31826450da.
Practice-based learning and improvement is an important skill set to develop during an orthopaedic trauma fellowship and is 1 of the 6 core competencies stated by the ACGME. The review of clinic cases is best done using a few simple models to develop a structured approach for studying cases. Three common sense and easy-to-use strategies to improve clinical practice are as follows: performing each case three times, studying the 4 quadrants of patient outcomes, and the application of the Pareto 80/20 rule. These principles help to develop a structured approach for analyzing and thinking about practice-based experiences.
基于实践的学习和提升是在骨科创伤 fellowship期间需要发展的一项重要技能，也是 ACGME 规定的 6 项核心能力之一。使用一些简单的模型来为研究病例制定结构化的方法，是审查临床病例的最佳方法。有三种常识且易于使用的策略可以改善临床实践，分别是：对每个病例进行三次操作、研究患者结局的四个象限，以及帕累托 80/20 法则的应用。这些原则有助于为分析和思考基于实践的经验制定结构化的方法。
