住院医师规范化培训后儿内科-内科连续性医学教学的系统培训：住院医师规范化培训主管的态度和感知障碍。

Systematic training in internal medicine-pediatrics end of residency handoffs: residency director attitudes and perceived barriers.

机构信息

a Department of Medicine and Pediatrics, Medstar Georgetown University Hospital , Washington , DC , USA.

出版信息

Teach Learn Med. 2014;26(1):17-26. doi: 10.1080/10401334.2013.857334.

DOI:10.1080/10401334.2013.857334

PMID:24405342

Abstract

BACKGROUND

It is unclear why systematic training in end-of-residency clinic handoffs is not universal.

PURPOSES

We assessed Internal Medicine-Pediatrics (Med-Peds) residency program directors' attitudes regarding end-of-residency clinic handoff systems and perceived barriers to their implementation.

METHODS

We surveyed all Med-Peds program directors in the United States about end-of-residency outpatient handoff systems.

RESULTS

Program directors rated systems as important (81.5%), but only 31 programs (46.3%) utilized them. Nearly all programs with (29/31 [93.5%]), and most programs without systems (24/33 [72.7%]) rated them as important. Programs were more likely to have a system if the program director rated it important (p = .049), and less likely if they cited a lack of faculty interest (p = .023) or difficulty identifying residents as primary providers (p = .04).

CONCLUSIONS

Most program directors believe it important to formally hand off outpatients. Barriers to establishing handoff systems can be overcome with modest curricular and cultural changes.

摘要

背景

目前尚不清楚为何住院医师规范化培训结业时的临床交接培训并非普及。

目的

我们评估了内科-儿科（Med-Peds）住院医师规范化培训项目主任对结业时临床交接系统的态度，以及对实施该系统的感知障碍。

方法

我们对美国所有的 Med-Peds 项目主任进行了关于住院医师规范化培训结业时门诊交接系统的调查。

结果

项目主任对系统的评价为重要（81.5%），但只有 31 个项目（46.3%）使用了系统。几乎所有有系统的项目（29/31 [93.5%]）和大多数没有系统的项目（24/33 [72.7%]）都认为该系统很重要。如果项目主任认为该系统很重要，那么该项目更有可能拥有该系统（p =.049），而如果他们认为缺乏教员兴趣（p =.023）或难以确定住院医师为主要提供者（p =.04），那么该项目就不太可能拥有该系统。