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未来:医院医师在当今病房教学中应对挑战的新策略。

Future: new strategies for hospitalists to overcome challenges in teaching on today's wards.

机构信息

Department of Medicine, University of Chicago, Chicago, Illinois, USA.

出版信息

J Hosp Med. 2013 Jul;8(7):409-13. doi: 10.1002/jhm.2057. Epub 2013 Jun 12.

Abstract

Changes in the clinical learning environment under resident duty hours restrictions have introduced a number of challenges on today's wards. Additionally, the current group of medical trainees is largely represented by the Millennial Generation, a generation characterized by an affinity for technology, interaction, and group-based learning. Special attention must be paid to take into account the learning needs of a generation that has only ever known life with duty hours. A mnemonic for strategies to augment teaching rounds for hospitalists was created using an approach that considers time limitations due to duty hours as well as the preferences of Millennial learners. These strategies to enhance learning during teaching rounds are Flipping the Wards, Using Documentation to Teach, Technology-Enabled Teaching, Using Guerilla Teaching Tactics, Rainy Day Teaching, and Embedding Teaching Moments into Rounds (FUTURE). Hospitalists serving as teaching attendings should consider these possible strategies as ways to enhance teaching in the post-duty hours era. These techniques appeal to the preferences of today's learners in an environment often limited by time constraints. Hospitalists are well positioned to champion innovative approaches to teaching in a dynamic and evolving clinical learning environment.

摘要

住院医师规范化培训制度实施后,临床学习环境发生了变化,给目前的病房管理带来了诸多挑战。此外,目前的医学实习生群体主要由千禧一代组成,这一代人对技术、互动和基于群体的学习有着浓厚的兴趣。必须特别关注这一代人的学习需求,因为他们只知道有工作时间的生活。使用一种考虑到工作时间限制以及千禧一代学习者偏好的方法,为医院医师创建了一个增强教学查房策略的记忆技巧。这些增强教学查房学习的策略包括翻转病房、使用文档进行教学、利用技术进行教学、使用游击教学策略、雨天教学以及将教学时刻嵌入查房(FUTURE)。担任教学主治医生的医院医师应该考虑这些可能的策略,作为在工作时间后增强教学的方法。这些技术迎合了当今学习者的偏好,因为他们所处的环境通常受到时间限制。医院医师非常适合在充满活力和不断发展的临床学习环境中倡导创新的教学方法。

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