G.E. Thibault is president, Josiah Macy Jr. Foundation, New York, New York.
Acad Med. 2018 Mar;93(3):357-359. doi: 10.1097/ACM.0000000000001935.
Through a series of six recent conferences, the Josiah Macy Jr. Foundation wanted to try to change the discussion about graduate medical education (GME) reform to one that is about the innovations needed to better prepare residents for the changing world of practice they will be entering and for meeting the needs of the patient population they will serve. These conferences featured some of the encouraging innovations in GME that are occurring at local and regional levels. An ongoing theme from many of these reforms is the empowerment of residents. The author examines what it would mean for health care systems, residency programs, and residents themselves to pursue empowerment for this significant portion of the health care workforce. Residents should be seen as a valuable component of the health care workforce with the ability to contribute to institutional and societal goals. The author highlights examples of existing programs that use residents in this way, but to accomplish this more broadly will require culture change and greater flexibility on the part of GME and institutional leadership.
通过最近的六次会议，Josiah Macy Jr. 基金会希望尝试将关于研究生医学教育 (GME) 改革的讨论转变为关于创新的讨论，这些创新需要更好地为住院医师准备他们将要进入的实践世界的变化，并满足他们将要服务的患者群体的需求。这些会议展示了 GME 中正在发生的一些令人鼓舞的创新。许多改革的一个持续主题是赋予住院医师权力。作者探讨了医疗保健系统、住院医师培训计划和住院医师本身为这一重要医疗保健工作者群体追求赋权意味着什么。应该将住院医师视为医疗保健劳动力中有价值的组成部分，他们有能力为机构和社会目标做出贡献。作者强调了现有计划的一些例子，这些计划以这种方式使用住院医师，但要更广泛地实现这一目标，GME 和机构领导层需要改变文化，并更加灵活。
