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持续专业发展以促进行为改变:从健康专业教育的原则到实践。

Continuing professional development to foster behaviour change: From principles to practice in health professions education.

机构信息

Harvard Medical School, Brigham and Women's Hospital , Boston , MA , USA.

Accreditation Council for Continuing Medical Education , Chicago , IL , USA.

出版信息

Med Teach. 2019 Sep;41(9):1045-1052. doi: 10.1080/0142159X.2019.1615608. Epub 2019 May 26.

Abstract

Healthcare professionals need to continuously improve their knowledge, skills and performance to effectively function in an ever-changing healthcare environment. They depend on continuing professional development programs (CPD), either within or outside their institutions, to reflect on and update their clinical practice. Professional growth requires more than knowledge transfer; it requires curiosity, humility, self-awareness and a motivation for mastery. Educators can build on these factors and create effective learning experiences to develop complex skills including communication, interprofessional collaboration, teamwork, leadership and reflective practice. CPD program leaders should adopt an evolved approach to program design that leverages adult learning principles, active learning and longitudinal curricula, while identifying and overcoming system barriers to change, and targeting meaningful behaviour and health outcomes. In this article, we describe principles and strategies that CPD leaders can apply to their own programs, categorized under three steps: (1) Program design, (2) Program implementation and (3) Program evaluation. Under each step, we provide theoretical principles as well as practical tips, focusing on strategies that can motivate and facilitate change.

摘要

医疗保健专业人员需要不断提高自己的知识、技能和绩效,以便在不断变化的医疗保健环境中有效地发挥作用。他们依靠机构内外的持续专业发展计划(CPD)来反思和更新自己的临床实践。专业成长不仅仅需要知识的转移;它还需要好奇心、谦逊、自我意识和掌握的动力。教育者可以利用这些因素,创造有效的学习体验,培养包括沟通、跨专业合作、团队合作、领导力和反思实践在内的复杂技能。CPD 项目负责人应该采用一种经过改进的方法来设计项目,利用成人学习原则、主动学习和纵向课程,同时确定和克服变革的系统障碍,并针对有意义的行为和健康结果。在本文中,我们描述了 CPD 负责人可以应用于自己项目的原则和策略,分为三个步骤:(1)项目设计,(2)项目实施,(3)项目评估。在每个步骤下,我们提供理论原则和实用技巧,重点介绍能够激励和促进变革的策略。

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