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本科麻醉、重症监护、疼痛和围手术期医学教育:国家课程框架的制定。

Undergraduate education in anaesthesia, intensive care, pain, and perioperative medicine: The development of a national curriculum framework.

机构信息

a Department of Anaesthesia , Royal Lancaster Infirmary, Lancaster University , Lancaster , UK.

b Brighton and Sussex University Hospital , Brighton , UK.

出版信息

Med Teach. 2019 Mar;41(3):340-346. doi: 10.1080/0142159X.2018.1472373. Epub 2018 Jul 3.

DOI:10.1080/0142159X.2018.1472373
PMID:29968485
Abstract

INTRODUCTION

The study describes the development of the first UK national framework to guide undergraduate education in anesthesia, perioperative medicine, critical care, and pain medicine.

METHODS

We followed an inclusive process of curriculum design aiming to promote high-level learning amongst students. We conducted telephone interviews with senior anesthetic educators at 33 UK medical schools to establish current provision and practice. We then held a consultative national workshop for educators, using focus group interviews to set broad aims for the final framework and gather information.

RESULT

Anesthesia undergraduate educators demonstrated a conceptual focus that moves beyond simple acquisition of knowledge to one geared to encouraging clinical behavioral change in learners to equip them for practice as new doctors. Respondents also highlighted the opportunities for promoting spiral, integrated, and longitudinal learning within the undergraduate curriculum. We also formulated eight key domains of practice in anesthesia and critical care and mapped 63 of the 106 General Medical Council's Outcomes for Graduates against these domains, and created a brief suggested syllabus.

CONCLUSIONS

The framework aims to provide support and guidance for medical schools in the development of competent, well-rounded doctors who are able to provide safe, patient-centered care in all areas of medical practice.

摘要

简介

本研究描述了首个英国国家框架的制定,旨在指导麻醉学、围手术期医学、重症监护和疼痛医学的本科教育。

方法

我们遵循了一个包容性的课程设计过程,旨在促进学生的高水平学习。我们对 33 所英国医学院的资深麻醉教育者进行了电话访谈,以了解当前的教学内容和实践情况。然后,我们为教育者举办了一次全国性的协商研讨会,通过焦点小组访谈为最终框架设定广泛的目标并收集信息。

结果

麻醉学本科教育者表现出一种超越简单知识获取的概念性重点,而是致力于鼓励学习者进行临床行为改变,使他们能够在作为新医生的实践中做好准备。受访者还强调了在本科课程中促进螺旋式、综合性和纵向学习的机会。我们还制定了麻醉和重症监护的 8 个关键实践领域,并将 106 项一般医学理事会毕业生成果中的 63 项映射到这些领域,创建了一个简短的建议教学大纲。

结论

该框架旨在为医学院提供支持和指导,以培养有能力、全面发展的医生,使他们能够在医疗实践的各个领域提供安全、以患者为中心的护理。

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