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单一认证体系中追求整骨疗法认可的感知重要性:对医学生、住院医师和教职员工的一项调查

Perceived Importance of Pursuing Osteopathic Recognition in the Single Accreditation System: A Survey of Medical Students, Residents, and Faculty.

作者信息

Hortos Kari, Corser William, Church Brandy, Rohrer Jonathan, Waarala Kirsten

出版信息

J Am Osteopath Assoc. 2017 Oct 1;117(10):651-659. doi: 10.7556/jaoa.2017.122.

Abstract

CONTEXT

As graduate medical education evolves under the single accreditation system, osteopathic residency programs and consortia strive for sustainable ways to achieve and support the Osteopathic Recognition (OR) designation.

OBJECTIVE

To determine whether differences existed in perceived importance of OR from 3 cohorts of osteopathic stakeholders: students, residents, and faculty.

METHODS

A nonexperimental quantitative cross-sectional online survey was administered during February and March 2016 to osteopathic medical students at Michigan State University College of Osteopathic Medicine and residents and faculty from the affiliated Statewide Campus System. After examining final working dataset patterns, a series of Kruskal-Wallis tests were conducted to identify statistically significant differences in perceived OR importance response categories across sample subgroups, including program specialty and primary vs non-primary care specialty.

RESULTS

The final analytic sample comprised 278 osteopathic medical students, 359 residents, and 94 faculty members. Of 728 respondents, 497 (67.9%) indicated that OR was "somewhat important," "important," or "very important." The overall perceived importance category patterns varied significantly across students, residents, and faculty cohort respondents (, P<.001) and program specialty (, P<.001), as well as between primary care and non-primary care residents and faculty (, P<.001).

CONCLUSION

Based on these initial results, OR is generally valued across osteopathic stakeholder groups, but significant differences may exist between different types of students, residents, and faculty. Pre- and postgraduate educational support structures designed to reduce barriers to OR implementation may help to sustain osteopathic principles and practice in the single accreditation system.

摘要

背景

随着研究生医学教育在单一认证体系下不断发展,整骨疗法住院医师培训项目及联盟努力寻求可持续的方式来获得并支持整骨疗法认可(OR)认证。

目的

确定整骨疗法利益相关者的三个群体(学生、住院医师和教职员工)在对OR重要性的认知上是否存在差异。

方法

2016年2月至3月期间,对密歇根州立大学整骨疗法医学院的整骨疗法医学生以及附属全州校园系统的住院医师和教职员工进行了一项非实验性定量横断面在线调查。在检查最终工作数据集模式后,进行了一系列Kruskal-Wallis检验,以确定样本亚组(包括项目专业以及初级与非初级保健专业)在OR重要性认知反应类别上的统计学显著差异。

结果

最终分析样本包括278名整骨疗法医学生、359名住院医师和94名教职员工。在728名受访者中,497名(67.9%)表示OR“有点重要”“重要”或“非常重要”。学生、住院医师和教职员工群体的受访者在整体认知重要性类别模式上存在显著差异(P<.001),项目专业之间也存在显著差异(P<.001),初级保健和非初级保健住院医师及教职员工之间同样存在显著差异(P<.001)。

结论

基于这些初步结果,整骨疗法利益相关者群体普遍重视OR,但不同类型的学生、住院医师和教职员工之间可能存在显著差异。旨在减少OR实施障碍的研究生前和研究生教育支持结构可能有助于在单一认证体系中维持整骨疗法原则和实践。

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