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儿科住院医师与医学教育。

Pediatric hospitalists and medical education.

作者信息

Ottolini Mary C

出版信息

Pediatr Ann. 2014 Jul;43(7):e151-6. doi: 10.3928/00904481-20140619-08.

Abstract

Pediatric hospital medicine (PHM) is moving toward becoming an American Board of Pediatrics (ABP) subspecialty, roughly a decade after its formal inception in 2003. Education has played a central role as the field has evolved. Hospitalists are needed to educate trainees, medical students, residents, fellows, and nurse practitioner and physician assistant students in inpatient pediatric practice. Continuous professional development is needed for hospitalists currently in practice to augment clinical skills, such as providing sedation and placing peripherally inserted central catheter lines, and nonclinical skills in areas such as quality improvement methodology, hospital administration, and health service research. To address the educational needs of the current and future state of PHM, additional training is now needed beyond residency training. Fellowship training will be essential to continue to advance the field of PHM as well as to petition the ABP for specialty accreditation. Training in using adult educational theory, curriculum, and assessment design are critical for pediatric hospitalists choosing to advance their careers as clinician-educators. Several venues are available for gaining advanced knowledge and skill as an educator. PHM clinician-educators are advancing the field of pediatric education as well as their own academic careers by virtue of the scholarly approach they have taken to designing and implementing curricula for unique PHM teaching situations. PHM educators are changing the educational paradigm to address challenges to traditional education strategies posed by duty hour restrictions and the increasing drive to shorten the duration of the hospitalization. By embracing learning with technology, such as simulation and e-learning with mobile devices, PHM educators can address these challenges as well as respond to learning preferences of millennial learners. The future for PHM education is bright.

摘要

儿科医院医学(PHM)自2003年正式创立以来,经过大约十年的发展,正朝着成为美国儿科学会(ABP)的一个亚专业方向迈进。随着该领域的不断发展,教育发挥了核心作用。在儿科住院诊疗实践中,需要住院医师培训医生、医学生、住院医生、专科住院医生以及执业护士和医师助理学生。目前从事临床工作的住院医师需要持续的专业发展,以提升临床技能,如实施镇静和放置外周静脉中心导管,以及在质量改进方法、医院管理和卫生服务研究等非临床技能方面的能力。为满足当前及未来PHM的教育需求,除住院医师培训外,现在还需要额外的培训。专科培训对于继续推动PHM领域的发展以及向ABP申请专业认证至关重要。对于选择以临床教育工作者身份推进其职业发展的儿科住院医师来说,运用成人教育理论、课程设计和评估设计方面的培训至关重要。有几个途径可供获取作为教育工作者的先进知识和技能。PHM临床教育工作者凭借他们为独特的PHM教学情境设计和实施课程所采用的学术方法,推动了儿科教育领域以及他们自身的学术生涯的发展。PHM教育工作者正在改变教育模式,以应对值班时间限制对传统教育策略带来的挑战以及缩短住院时间的日益增长的需求。通过采用技术手段进行学习,如模拟和使用移动设备的电子学习,PHM教育工作者能够应对这些挑战,并回应千禧一代学习者的学习偏好。PHM教育的未来一片光明。

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