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针对毕业后医学教育教师的医学教育文献综述。

A review of the medical education literature for graduate medical education teachers.

作者信息

Locke Kenneth A, Bates Carol K, Karani Reena, Chheda Shobhina G

出版信息

J Grad Med Educ. 2013 Jun;5(2):211-8. doi: 10.4300/JGME-D-12-00245.1.

DOI:10.4300/JGME-D-12-00245.1
PMID:24404262
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3693683/
Abstract

BACKGROUND

A rapidly evolving body of literature in medical education can impact the practice of clinical educators in graduate medical education.

OBJECTIVE

To aggregate studies published in the medical education literature in 2011 to provide teachers in general internal medicine with an overview of the current, relevant medical education literature.

REVIEW

We systematically searched major medical education journals and the general clinical literature for medical education studies with sound design and relevance to the educational practice of graduate medical education teachers. We chose 12 studies, grouped into themes, using a consensus method, and critiqued these studies.

RESULTS

Four themes emerged. They encompass (1) learner assessment, (2) duty hour limits and teaching in the inpatient setting, (3) innovations in teaching, and (4) learner distress. With each article we also present recommendations for how readers may use them as resources to update their clinical teaching. While we sought to identify the studies with the highest quality and greatest relevance to educators, limitation of the studies selected include their single-site and small sample nature, and the frequent lack of objective measures of outcomes. These limitations are shared with the larger body of medical education literature.

CONCLUSIONS

The themes and the recommendations for how to incorporate this information into clinical teaching have the potential to inform the educational practice of general internist educators as well as that of teachers in other specialties.

摘要

背景

医学教育领域迅速发展的文献会影响毕业后医学教育中临床教育工作者的实践。

目的

汇总2011年发表在医学教育文献中的研究,为普通内科教师提供当前相关医学教育文献的概述。

综述

我们系统检索了主要医学教育期刊和普通临床文献,以查找设计合理且与毕业后医学教育教师的教育实践相关的医学教育研究。我们采用共识法选择了12项研究,按主题分组,并对这些研究进行了批判性分析。

结果

出现了四个主题。它们包括(1)学习者评估,(2)住院环境中的值班时间限制与教学,(3)教学创新,以及(4)学习者困扰。对于每篇文章,我们还给出了关于读者如何将其用作资源来更新临床教学的建议。虽然我们试图找出质量最高且与教育工作者相关性最大的研究,但所选研究的局限性包括其单中心和小样本性质,以及结果的客观测量方法常常缺乏。这些局限性在大量医学教育文献中也存在。

结论

这些主题以及关于如何将这些信息纳入临床教学的建议,有可能为普通内科教育工作者以及其他专业教师的教育实践提供参考。

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Observational study using the tools of lean six sigma to improve the efficiency of the resident rounding process.使用精益六西格玛工具进行观察性研究,以提高住院医师查房流程的效率。
J Grad Med Educ. 2011 Jun;3(2):144-50. doi: 10.4300/JGME-D-10-00116.1.
2
Involving clinical librarians at the point of care: results of a controlled intervention.在临床护理点引入临床馆员:一项对照干预的结果。
Acad Med. 2011 Dec;86(12):1508-12. doi: 10.1097/ACM.0b013e31823595cd.
3
Restructuring an inpatient resident service to improve outcomes for residents, students, and patients.重构住院医师服务,以改善住院医师、医学生和患者的结局。
Acad Med. 2011 Dec;86(12):1500-7. doi: 10.1097/ACM.0b013e3182359491.
4
Who you know or what you know? Effect of examiner familiarity with residents on OSCE scores.你认识谁或你知道什么?主考人与住院医师的熟悉程度对 OSCE 分数的影响。
Acad Med. 2011 Oct;86(10 Suppl):S8-11. doi: 10.1097/ACM.0b013e31822a729d.
5
Quality of life, burnout, educational debt, and medical knowledge among internal medicine residents.内科住院医师的生活质量、倦怠、教育债务和医学知识。
JAMA. 2011 Sep 7;306(9):952-60. doi: 10.1001/jama.2011.1247.
6
The incidence and predictors of job burnout in first-year internal medicine residents: a five-institution study.第一年内科住院医师职业倦怠的发生率及其预测因素:五家机构的研究。
Acad Med. 2011 Oct;86(10):1304-10. doi: 10.1097/ACM.0b013e31822c1236.
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Joining the dots: conditional pass and programmatic assessment enhances recognition of problems with professionalism and factors hampering student progress.串联线索:条件通过和程序化评估增强了对专业精神问题和阻碍学生进步因素的识别。
BMC Med Educ. 2011 Jun 7;11:29. doi: 10.1186/1472-6920-11-29.
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Efficacy of a brief screening tool to identify medical students in distress.一种用于识别有困扰的医学生的简短筛查工具的效果。
Acad Med. 2011 Jul;86(7):907-14. doi: 10.1097/ACM.0b013e31821da615.
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Shifting indirect patient care duties to after hours in the era of work hours restrictions.在工时限制时代,将间接患者护理工作转移到工作时间之外。
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Bayes' theorem and the physical examination: probability assessment and diagnostic decision making.贝叶斯定理与体格检查:概率评估与诊断决策。
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