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医学领域中卓越临床能力与榜样作用的交集。

The intersection between clinical excellence and role modeling in medicine.

作者信息

Kravet Steven J, Christmas Colleen, Durso Samuel, Parson Gregory, Burkhart Kathleen, Wright Scott

出版信息

J Grad Med Educ. 2011 Dec;3(4):465-8. doi: 10.4300/JGME-03-04-04.

DOI:10.4300/JGME-03-04-04
PMID:23205192
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3244309/
Abstract

BACKGROUND

Role modeling is an integral component of medical education. The literature suggests that being a clinically excellent academic physician and serving as a role model for trainees are integrally related.

PURPOSE

To explore the relationship between being considered clinically excellent and being considered an effective role model.

METHODS

Two independent surveys were administered to clinically active faculty (asked to name clinically excellent colleagues) and internal medicine residents (asked to name faculty role models). We compared frequency counts of clinically excellent faculty mentioned and frequency counts of role models mentioned by respondents. Spearman correlations and odds ratios with 95% confidence intervals were used to assess the relationship between the responses.

RESULTS

A total of 39 of 66 faculty (59%) and 45 of 50 residents (90%) responded. There were 31 faculty members judged to be clinically excellent and 67 faculty identified as role models. Thirty faculty members appeared on both lists. There was a moderately high correlation between these groups (Spearman correlation coefficient  =  0.54, P < .001). Faculty members who were among those named as clinically excellent by their peers were more likely to be named 3 or more times as a role model by trainees (odds ratio, 24.6; confidence interval, 2.9-207).

CONCLUSIONS

This study tested and confirmed the correlation between clinical excellence and role modeling, illustrating the value of these faculty members at teaching hospitals.

摘要

背景

榜样示范是医学教育不可或缺的组成部分。文献表明,成为一名临床优秀的学术医师与作为实习生的榜样密切相关。

目的

探讨被认为临床优秀与被认为是有效榜样之间的关系。

方法

对临床在职教师(被要求列出临床优秀的同事)和内科住院医师(被要求列出教师榜样)进行了两项独立调查。我们比较了受访者提到的临床优秀教师的频次计数和榜样的频次计数。使用Spearman相关性和95%置信区间的优势比来评估回答之间的关系。

结果

66名教师中有39名(59%)和50名住院医师中有45名(90%)做出了回应。有31名教师被判定为临床优秀,67名教师被确定为榜样。30名教师出现在两个名单上。这些群体之间存在中度高度相关性(Spearman相关系数=0.54,P<.001)。被同行评为临床优秀的教师更有可能被实习生3次或更多次列为榜样(优势比为24.6;置信区间为2.9-207)。

结论

本研究检验并证实了临床优秀与榜样示范之间的相关性,说明了这些教师在教学医院的价值。

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本文引用的文献

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Creating an academy of clinical excellence at Johns Hopkins Bayview Medical Center: a 3-year experience.创建约翰霍普金斯湾景医疗中心临床卓越学院:3 年经验。
Acad Med. 2010 Dec;85(12):1833-9. doi: 10.1097/ACM.0b013e3181fa416c.
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Shortage of female cardiologists: exploring the issues.女性心脏病专家短缺:探讨相关问题。
Mayo Clin Proc. 2008 Sep;83(9):1022-5. doi: 10.4065/83.9.1022.
3
Clinical excellence in academia: perspectives from masterful academic clinicians.学术界的临床卓越:杰出学术临床医生的观点。
Mayo Clin Proc. 2008 Sep;83(9):989-94. doi: 10.4065/83.9.989.
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5
Learning behind the scenes: perceptions and observations of role modeling in pediatric residents' continuity experience.幕后学习:儿科住院医师连续性体验中对榜样作用的认知与观察
Ambul Pediatr. 2007 Mar-Apr;7(2):176-81. doi: 10.1016/j.ambp.2006.11.005.
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Qualitative evaluation of a formal bedside clinical teaching programme in an emergency department.急诊科正式床边临床教学项目的定性评估
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The decline of academic medicine.学术医学的衰落。
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Accidental deaths, saved lives, and improved quality.意外死亡、挽救生命与质量提升。
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Osler, Flexner, apprenticeship and 'the new medical education'.奥斯勒、弗莱克斯纳、学徒制与“新医学教育”
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