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实施科学对医学教育有哪些影响?

What are the implications of implementation science for medical education?

作者信息

Price David W, Wagner Dianne P, Krane N Kevin, Rougas Steven C, Lowitt Nancy R, Offodile Regina S, Easdown L Jane, Andrews Mark A W, Kodner Charles M, Lypson Monica, Barnes Barbara E

机构信息

American Board of Medical Specialties Research and Education Foundation, Chicago, IL, USA.

The Colorado Permanente Medical Group, Denver, CO, USA.

出版信息

Med Educ Online. 2015 Apr 23;20:27003. doi: 10.3402/meo.v20.27003. eCollection 2015.

Abstract

BACKGROUND

Derived from multiple disciplines and established in industries outside of medicine, Implementation Science (IS) seeks to move evidence-based approaches into widespread use to enable improved outcomes to be realized as quickly as possible by as many as possible.

METHODS

This review highlights selected IS theories and models, chosen based on the experience of the authors, that could be used to plan and deliver medical education activities to help learners better implement and sustain new knowledge and skills in their work settings.

RESULTS

IS models, theories and approaches can help medical educators promote and determine their success in achieving desired learner outcomes. We discuss the importance of incorporating IS into the training of individuals, teams, and organizations, and employing IS across the medical education continuum. Challenges and specific strategies for the application of IS in educational settings are also discussed.

CONCLUSIONS

Utilizing IS in medical education can help us better achieve changes in competence, performance, and patient outcomes. IS should be incorporated into curricula across disciplines and across the continuum of medical education to facilitate implementation of learning. Educators should start by selecting, applying, and evaluating the teaching and patient care impact one or two IS strategies in their work.

摘要

背景

实施科学(IS)源自多个学科,在医学以外的行业中得以确立,旨在推动基于证据的方法得到广泛应用,以使尽可能多的人尽快实现改善的结果。

方法

本综述重点介绍了基于作者经验挑选出的一些实施科学理论和模型,这些理论和模型可用于规划和开展医学教育活动,以帮助学习者在工作环境中更好地应用和维持新知识与技能。

结果

实施科学模型、理论和方法有助于医学教育工作者促进并确定他们在实现预期学习者成果方面的成功。我们讨论了将实施科学纳入个人、团队和组织培训以及在整个医学教育过程中应用实施科学的重要性。还讨论了在教育环境中应用实施科学的挑战和具体策略。

结论

在医学教育中利用实施科学可以帮助我们更好地实现能力、表现和患者结局方面的改变。应将实施科学纳入各学科以及整个医学教育过程的课程中,以促进学习的应用。教育工作者应首先在其工作中选择、应用和评估一两种实施科学策略对教学和患者护理的影响。

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