Schnapp Benjamin H, Caretta-Weyer Holly A, Cortez Eric, Heinrich Scott A, Kraut Aaron S, Lloyd Christopher M, Silvester Carly, Sorge Randy M, Wain Amy, Gottlieb Michael
Emergency Medicine, University of Wisconsin, Madison, USA.
Emergency Medicine, Stanford University, Palo Alto, USA.
Cureus. 2019 Apr 4;11(4):e4383. doi: 10.7759/cureus.4383.
Introduction The Accreditation Council for Graduate Medical Education calls graduated responsibility "one of the core tenets of American graduate medical education." However, there is no clear set of resources for programs to implement a system of progressively increasing responsibilities for trainees. This project aimed to identify a set of high-yield papers on graduated responsibility for junior faculty members. Methods A study group of Academic Life in Emergency Medicine Faculty Incubator participants identified relevant literature on graduated responsibility via a comprehensive literature search and a call to the online medical education community; 59 total papers were identified. The most relevant and applicable were selected by the study group via a three-round modified Delphi process. Results Five key articles for junior faculty interested in implementing more robust graduated responsibility at their residency training program were selected and described here. Summaries of key points, along with considerations for faculty developers and relevance to junior faculty, are presented for each article. Conclusions The articles presented here provide a solid theoretical and practical basis for junior faculty to explore graduated responsibility. The five articles presented here provide the junior faculty with a toolkit to examine and improve their systems for assigning responsibilities in a graded fashion at their own institutions.
引言 研究生医学教育认证委员会将分级责任称为“美国研究生医学教育的核心原则之一”。然而,对于各项目而言,并没有一套明确的资源来实施一个让受训人员责任逐步增加的体系。本项目旨在确定一系列关于初级教员分级责任的高影响力论文。方法 急诊医学教员孵化器学术生活研究小组的参与者通过全面的文献检索以及向在线医学教育社区发出呼吁,确定了关于分级责任的相关文献;共识别出59篇论文。研究小组通过三轮改进的德尔菲法挑选出最相关且适用的论文。结果 在此挑选并描述了五篇对有兴趣在其住院医师培训项目中实施更完善分级责任的初级教员而言关键的文章。针对每篇文章,都给出了要点总结,以及对教员发展人员的考量和与初级教员的相关性。结论 此处呈现的文章为初级教员探索分级责任提供了坚实的理论和实践基础。这里展示的五篇文章为初级教员提供了一个工具包,用于审视和改进他们在自己机构以分级方式分配责任的体系。