Accreditation Council for Graduate Medical Education, Chicago, IL (retired).
College of Pharmacy and College of Medicine, University of Tennessee Health Science Center, Memphis, TN.
Am J Health Syst Pharm. 2020 Jan 1;77(1):39-46. doi: 10.1093/ajhp/zxz251.
The National Collaborative for Improving the Clinical Learning Environment offers guidance to health care leaders for engaging new clinicians in efforts to eliminate health care disparities.
To address health care disparities that are pervasive across the United States, individuals at all levels of the health care system need to commit to ensuring equity in care. Engaging new clinicians is a key element of any systems-based approach, as new clinicians will shape the future of health care delivery. Clinical learning environments, or the hospitals, medical centers, and ambulatory care clinics where new clinicians train, have an important role in this process. Efforts may include training in cultural humility and cultural competency, education about the organization's vulnerable populations, and continuous interprofessional experiential learning through comprehensive, systems-based QI efforts focused on eliminating health care disparities.
By preparing and supporting new clinicians to engage in systems-based QI efforts to eliminate health care disparities, clinical learning environments are instilling skills and supporting behaviors that clinicians can build throughout their careers-and helping pave the road towards equity throughout the US health care system.
国家临床学习环境改善合作组织为医疗保健领导者提供了指导，以让新临床医生参与到消除医疗保健差异的工作中。
为了解决美国普遍存在的医疗保健差异问题，医疗保健系统各个层面的人员都需要承诺确保医疗保健的公平性。让新临床医生参与是任何基于系统的方法的关键要素，因为新临床医生将塑造医疗保健提供的未来。临床学习环境，即新临床医生培训的医院、医疗中心和门诊诊所，在这一过程中发挥着重要作用。努力可能包括文化谦逊和文化能力培训、关于组织弱势群体的教育，以及通过全面的、基于系统的 QI 努力进行持续的跨专业体验式学习，重点是消除医疗保健差异。
通过培养和支持新临床医生参与基于系统的 QI 工作，以消除医疗保健差异，临床学习环境正在灌输技能并支持临床医生在整个职业生涯中建立的行为，并有助于为整个美国医疗保健系统铺平公平之路。
