M. Raffoul is assistant professor, Department of Emergency Medicine, and assistant medical director, Tisch Observation/Short Stay Unit, NYU Langone Health, New York, New York. G. Bartlett-Esquilant is professor, associate chair, and research and graduate program director, Department of Family Medicine, McGill University, Montreal, Quebec, Canada. R.L. Phillips Jr is executive director, Center for Professionalism and Value in Health Care, American Board of Family Medicine, Lexington, Kentucky, and professor, Department of Family Medicine, Georgetown University, Washington, DC.
Acad Med. 2019 May;94(5):651-655. doi: 10.1097/ACM.0000000000002606.
The quality of any health care system depends on the caliber, enthusiasm, and diversity of the workforce. Yet, workforce research often focuses on the number and type of health professionals needed and anticipated shortages compared with anticipated needs. These projections do not address whether the workforce will have the requisite social, intellectual, cultural, and emotional capital needed to deliver care in an increasingly complex health care system.Building a workforce that can deliver care in such a system begins by recruiting individuals with the requisite knowledge, skills, and attributes. To address this and other workforce needs, the authors argue that health professions education programs must make purposeful changes to their admissions criteria, such as focusing on emotional intelligence and diversity and recruiting students from the communities where they will return to work; partner with communities; ensure that accreditation systems support these goals of fostering diversity; recruit students who can bridge the gap between public health and health care; and invest in health professions education research.In this article, they contemplate how health professions education programs can recruit and educate talented health professionals to create a high-performing workforce that is capable of serving in the complex health care system of tomorrow. They provide examples of successful programs to highlight the potential effects of their recommendations.
任何医疗保健系统的质量都取决于其劳动力的素质、热情和多样性。然而，劳动力研究通常关注的是所需的卫生专业人员数量和类型，以及与预期需求相比的预计短缺情况。这些预测并未解决劳动力是否具备在日益复杂的医疗保健系统中提供护理所需的必要社会、智力、文化和情感资本的问题。要建立一支能够在这样的系统中提供护理的劳动力队伍，首先要从招聘具有必要知识、技能和属性的个人开始。为了解决这一问题和其他劳动力需求，作者认为，卫生专业教育项目必须对其招生标准进行有目的的改变，例如注重情商和多样性，并从他们将返回工作的社区中招募学生；与社区合作；确保认证系统支持培养多样性的这些目标；招募能够弥合公共卫生和医疗保健之间差距的学生；并投资于卫生专业教育研究。在本文中，他们思考了卫生专业教育项目如何招募和教育有才华的卫生专业人员，以创建一支能够在未来复杂的医疗保健系统中服务的高绩效劳动力队伍。他们提供了成功项目的例子，以突出其建议的潜在影响。
Zotero 插件