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家庭医学住院医师培训中的小组医疗访视培训:2015年CERA项目主任调查

Group Medical Visit Training in Family Medicine Residency: A 2015 CERA Program Directors Survey.

作者信息

Strickland Carmen, Sandberg Joanne C, Davis Stephen W, Weaver Sally P

机构信息

Wake Forest School of Medicine, Salem, NC.

Wake Forest School of Medicine, Department of Family and Community Medicine, Winston-Salem, NC.

出版信息

Fam Med. 2019 Apr;51(4):319-325. doi: 10.22454/FamMed.2019.316336.

Abstract

BACKGROUND AND OBJECTIVES

Group medical visits (GMV) have been shown to improve clinical outcomes and patient satisfaction and are included as a new tool in the patient-centered medical home (PCMH). The capacity for and interest in developing GMV skills in family medicine residency have not been assessed. This study aims to describe the extent of existing training in GMV as well as attitudes toward and barriers to this training.

METHODS

The Council of Academic Family Medicine Educational Research Alliance (CERA) sent a survey in the fall of 2015 to all US family medicine residency program directors (PDs) containing questions about the status of GMV training for their residents.

RESULTS

The survey response rate was 53%. Fifty-nine percent of program director respondents report access to GMV and 61% note some form of training in this model of care. Seventy-nine percent of respondents indicate that GMV training is important for residents. Multiple barriers exist to optimizing GMV as part of current family medicine training.

CONCLUSIONS

A majority of family medicine PD respondents report both access to and curriculum for GMV. While program directors endorse this practice model as an important element in resident training, they acknowledge challenges that may limit its availability. Opportunities to better understand and overcome barriers may increase programs' capacity to deliver GMV skills.

摘要

背景与目的

小组医疗就诊(GMV)已被证明能改善临床疗效和患者满意度,并被纳入以患者为中心的家庭医疗(PCMH)这一新型工具之中。家庭医学住院医师培养中发展GMV技能的能力及兴趣尚未得到评估。本研究旨在描述GMV现有培训的程度以及对该培训的态度和障碍。

方法

学术家庭医学教育研究联盟理事会(CERA)于2015年秋季向所有美国家庭医学住院医师培训项目主任(PDs)发送了一项调查,其中包含有关其住院医师GMV培训状况的问题。

结果

调查回复率为53%。59%的项目主任受访者报告可进行GMV,61%指出在这种护理模式中有某种形式的培训。79%的受访者表示GMV培训对住院医师很重要。作为当前家庭医学培训的一部分,优化GMV存在多种障碍。

结论

大多数家庭医学PD受访者报告既有GMV的途径,也有相关课程。虽然项目主任认可这种实践模式是住院医师培训的重要组成部分,但他们承认可能限制其可用性的挑战。更好地理解和克服障碍的机会可能会提高项目提供GMV技能的能力。

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