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制定并执行一项关于在医学教育中开展实施科学的研究议程。

Building and executing a research agenda toward conducting implementation science in medical education.

作者信息

Carney Patricia A, Crites Gerald E, Miller Karen H, Haight Michelle, Stefanidis Dimitrios, Cichoskikelly Eileen, Price David W, Akinola Modupeola O, Scott Victoria C, Kalishman Summers

机构信息

Department of Family Medicine, Oregon Health & Science University School of Medicine, Portland, OR, USA.

Department of Public Health & Preventive Medicine, Oregon Health & Science University School of Medicine, Portland, OR, USA;

出版信息

Med Educ Online. 2016 Aug 25;21:32405. doi: 10.3402/meo.v21.32405. eCollection 2016.

Abstract

BACKGROUND

Implementation science (IS) is the study of methods that successfully integrate best evidence into practice. Although typically applied in healthcare settings to improve patient care and subsequent outcomes, IS also has immediate and practical applications to medical education toward improving physician training and educational outcomes. The objective of this article is to illustrate how to build a research agenda that focuses on applying IS principles in medical education.

APPROACH

We examined the literature to construct a rationale for using IS to improve medical education. We then used a generalizable scenario to step through a process for applying IS to improve team-based care.

PERSPECTIVES

IS provides a valuable approach to medical educators and researchers for making improvements in medical education and overcoming institution-based challenges. It encourages medical educators to systematically build upon the research outcomes of others to guide decision-making while evaluating the successes of best practices in individual environments and generate additional research questions and findings.

CONCLUSIONS

IS can act as both a driver and a model for educational research to ensure that best educational practices are easier and faster to implement widely.

摘要

背景

实施科学(IS)是对成功将最佳证据整合到实践中的方法的研究。尽管通常应用于医疗保健环境以改善患者护理及后续结果,但实施科学在医学教育中也有直接且实际的应用,有助于改善医师培训和教育成果。本文的目的是说明如何构建一个专注于在医学教育中应用实施科学原则的研究议程。

方法

我们查阅文献,为使用实施科学改善医学教育构建理论依据。然后我们使用一个可推广的场景,逐步介绍应用实施科学改善团队协作式医疗的过程。

观点

实施科学为医学教育工作者和研究人员提供了一种有价值的方法,可用于改进医学教育并克服基于机构的挑战。它鼓励医学教育工作者系统地借鉴他人的研究成果来指导决策,同时在评估个体环境中最佳实践的成功情况时,提出更多研究问题并得出更多研究结果。

结论

实施科学可以成为教育研究的驱动力和典范,以确保最佳教育实践更易于且更快地广泛实施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a263/5002033/a36ccc1db012/MEO-21-32405-g001.jpg

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