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整合医学与健康多专业住院医师培训项目:巴西为卫生专业人员构建跨专业课程的经验。

Integrating medical and health multiprofessional residency programs: the experience in building an interprofessional curriculum for health professionals in Brazil.

作者信息

da Motta Luciana Branco, Pacheco Liliane Carvalho

机构信息

Physician, Geriatrician, Doctorate in Collective Health, Coordinator of the Elderly Care Group, Coordinator of the Medical Residency Program in Geriatrics, Rio de Janeiro, RJ, Brazil.

出版信息

Educ Health (Abingdon). 2014 Jan-Apr;27(1):83-8. doi: 10.4103/1357-6283.134331.

Abstract

BACKGROUND

The aging of the population demands a development of the skills of different health professionals working in teams due to the complexity of the problems arising from this population. This article discusses the integration of two residency programs: medical and multiprofessional. The challenge was to construct a curriculum with practical and theoretical activities that develop competencies within the scope of interprofessional education, ensuring the necessary depth and detail of study in all the professional areas involved in the development of specific skills.

METHODS

The curricular integration was accomplished by conducting workshops with the participation of coordinators from both programs and service areas, preceptors of medicine, nursing, nutrition, psychology, physiotherapy, and social services. In these workshops, we agreed upon the goals, general and specific competencies, the standard weekly schedule, practice scenarios, evaluation, and selection.

RESULTS

The interprofessional program has 26 residents, of which 6 are physicians 4 each from the other areas, with 25 preceptors from the 6 areas that comprise the program. The residents develop their training in six practical scenarios distributed between the first and second years with increasing complexity.

DISCUSSION

The program is based on guidelines, physical conditions and human resources that allow for the overcoming of barriers to the development of interprofessional education and collaborative practice.

摘要

背景

由于老年人群体产生的问题较为复杂,人口老龄化要求团队中不同健康专业人员提升技能。本文讨论了医学和多专业两个住院医师培训项目的整合。挑战在于构建一个包含实践和理论活动的课程体系,以培养跨专业教育范围内的能力,确保在培养特定技能所涉及的所有专业领域进行必要的深入和详细学习。

方法

通过举办研讨会实现课程整合,参与人员包括两个项目和服务领域的协调员、医学、护理、营养、心理学、物理治疗和社会服务的带教老师。在这些研讨会上,我们就目标、一般和具体能力、标准每周日程安排、实践场景、评估和选拔达成了一致。

结果

跨专业项目有26名住院医师,其中6名是医生,其他领域各有4名,该项目涵盖的6个领域共有25名带教老师。住院医师在第一年和第二年之间分布的六个实践场景中进行培训,难度逐渐增加。

讨论

该项目基于指导方针、身体条件和人力资源,有助于克服跨专业教育和协作实践发展的障碍。

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