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教导我们的学生、住院医师以及我们自己。

Teaching Our Students, Our Residents and Ourselves.

作者信息

Kayhan Zeynep

机构信息

Department of Anaesthesiology, Faculty of Medicine, Başkent University, Ankara, Turkey.

出版信息

Turk J Anaesthesiol Reanim. 2014 Feb;42(1):1-5. doi: 10.5152/TJAR.2014.26121. Epub 2014 Jan 3.

Abstract

Even though postgraduate medical education has been the focus of interest in anaesthesiology education, in a broader sense the entire medical community can be considered appropriate learners of anaesthesiology. Anaesthesiologists are equipped to teach physiology, pharmacology, resuscitation, pain management, perioperative assessment, and medical technology. For residency training, an approach based on competencies, skills and professionalism should be used instead of the traditional "apprenticeship" model. When teaching ourselves as qualified anaesthesiologists, areas of continuing professional development, academic career training and continuing medical education should be taken into account. Whereas the responsibility for undergraduate medical education rests with university medical schools, postgraduate medical education is carried out by universities and/or the national health authorities/services. Establishment of partnerships between health-care services and universities should be central to the provision of postgraduate education so as not to dissociate various stages of education. When determining educational strategies, institutional preferences, target populations and their learning styles should be taken into account. To this end, especially for high risk situations simulation-based approaches, scenarios, standardized patients, research, mentoring, journal clubs, seminars, lectures, case discussions, bed-side discussions, courses, games and portfolios have been and are being used widely. Departments of anaesthesiology should establish and maintain a strong presence in undergraduate medical education. Besides being good clinicians, anaesthesiologists should understand all aspects of education and educational outcome in order to better teach students, residents and themselves. Quality of education and the teaching environment should continually be evaluated within the context of quality assurance.

摘要

尽管研究生医学教育一直是麻醉学教育的关注焦点,但从更广泛的意义上讲,整个医学界都可被视为麻醉学的合适学习者。麻醉医生具备教授生理学、药理学、复苏术、疼痛管理、围手术期评估和医疗技术的能力。对于住院医师培训,应采用基于能力、技能和专业素养的方法,而非传统的“学徒制”模式。在自我教育成为合格麻醉医生时,应考虑持续专业发展、学术职业培训和继续医学教育等领域。本科医学教育由大学医学院负责,而研究生医学教育则由大学和/或国家卫生当局/服务机构开展。医疗服务机构与大学之间建立伙伴关系应是研究生教育提供的核心,以免教育的各个阶段脱节。在确定教育策略时,应考虑机构偏好、目标人群及其学习方式。为此,特别是对于高风险情况,基于模拟的方法、情景、标准化病人、研究、指导、期刊俱乐部、研讨会、讲座、病例讨论、床边讨论、课程、游戏和档案袋等一直并正在被广泛使用。麻醉学系应在本科医学教育中建立并保持强大的影响力。除了成为优秀的临床医生外,麻醉医生还应了解教育的各个方面和教育成果,以便更好地教授学生、住院医师和他们自己。应在质量保证的背景下持续评估教育质量和教学环境。

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