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共同学习:将高级实践提供者整合到普通内科病房团队中。

Learning Together: Integration of Advanced Practice Providers into a General Medicine Ward Team.

机构信息

Department of Medicine, Division of Hospital Medicine, University of Colorado, Aurora, CO, 80045, USA.

出版信息

J Gen Intern Med. 2019 May;34(5):769-772. doi: 10.1007/s11606-019-04880-4.

Abstract

BACKGROUND

The Accreditation Council for Graduate Medical Education (ACGME) demands that physicians should be trained to engage in clinical activities with other health profession providers. Incorporation of advanced practice providers (APPs) into medicine ward teams has not yet been described.

AIM

To describe a pilot and feasibility evaluation of an interprofessional general medicine ward team with internal medicine residents and APPs to encourage resident leadership development, enhance service to education balance, and promote interprofessional collaboration.

SETTING

University of Colorado, Internal Medicine Residency Program.

PARTICIPANTS

Sixteen internal medicine residents, 16 interns, 19 Department of Medicine faculty members, and 8 advanced practice provider fellows in hospital medicine.

PROGRAM DESCRIPTION

The authors describe an interprofessional general medicine ward team including team structure, and roles and responsibilities of each team member.

PROGRAM EVALUATION

Each team member completed an electronic survey following the rotation and the majority agreed that the pilot team allowed for an enhanced resident leadership role, and helped to restore the service to education balance and interprofessional collaboration.

DISCUSSION

An interprofessional general medicine ward team is feasible, has the potential to optimize service to education balance, and exposes learners to a collaborative interprofessional clinical environment.

摘要

背景

研究生医学教育认证委员会(ACGME)要求医生接受培训,以便与其他医疗保健专业人员一起从事临床活动。将高级执业医师(APP)纳入内科病房团队的情况尚未得到描述。

目的

描述一个具有内科住院医师和 APP 的跨专业普通内科病房团队的试点和可行性评估,以鼓励住院医师领导力的发展,加强服务与教育的平衡,并促进跨专业协作。

地点

科罗拉多大学,内科住院医师培训计划。

参与者

16 名内科住院医师、16 名实习医师、19 名内科医学系教员和 8 名医院医学高级执业医师研究员。

项目描述

作者描述了一个跨专业的普通内科病房团队,包括团队结构以及每个团队成员的角色和责任。

项目评估

每个团队成员在轮班后完成了一份电子调查,大多数人认为试点团队允许住院医师发挥更大的领导力作用,并有助于恢复服务与教育的平衡和跨专业协作。

讨论

跨专业普通内科病房团队是可行的,有可能优化服务与教育的平衡,并使学习者接触到协作的跨专业临床环境。

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