Meisinger Kirsten, Wohler Diana
Clinical instructor at Harvard Medical School in Boston and a family medicine physician at the Cambridge Health Alliance in Cambridge, Massachusetts, where she is also incoming medical staff president and medical director of the Union Square site, a patient-centered medical home.
Family medicine resident physician at Memorial Hospital of Rhode Island.
AMA J Ethics. 2016 Sep 1;18(9):910-6. doi: 10.1001/journalofethics.2016.18.9.medu1-1609.
Effective implementation of robust team-based care in the United States requires significant training for all team members. This education is integral to creating a culture of collaboration and respect among interprofessional members of the health care team. The lack of interprofessional clinical educational experiences contributes to a "hidden curriculum" that reinforces the problematic view that medicine is at the top of a hierarchy among health professions. However, learners themselves have started resisting this view by integrating cross-disciplinary team-based training into their own education. One example of learner-based leadership in interprofessional team care is the Crimson Care Collaborative at Cambridge Health Alliance, a student-faculty collaborative family medicine clinic. This successful clinic demonstrates that high-quality interprofessional clinical education can be accomplished through partnerships between educational institutions and existing patient-centered medical homes.
在美国,有效实施强大的团队式医疗需要对所有团队成员进行大量培训。这种教育对于在医疗团队的跨专业成员之间营造协作与尊重的文化至关重要。跨专业临床教育经历的匮乏导致了一种“隐性课程”,强化了医学在卫生专业等级制度中处于顶端这一有问题的观点。然而,学习者自己已经开始通过将跨学科团队式培训融入自身教育来抵制这种观点。跨专业团队护理中基于学习者的领导力的一个例子是剑桥健康联盟的 Crimson Care Collaborative,这是一个学生与教师合作的家庭医学诊所。这个成功的诊所表明,高质量的跨专业临床教育可以通过教育机构与现有的以患者为中心的医疗之家之间的合作来实现。