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教学临床推理和诊断技能的起源:GEL 研究。

The genealogy of teaching clinical reasoning and diagnostic skill: the GEL Study.

机构信息

Associate Professor of Internal Medicine and Pediatrics, The University of Alabama at Birmingham, c/o UAB Medicine Leeds, 1141 Payton Way, Leeds, AL 35094, USA.

Department of Internal Medicine, Johns Hopkins Hospital and Health System, Baltimore, MD, USA.

出版信息

Diagnosis (Berl). 2020 Aug 27;7(3):197-203. doi: 10.1515/dx-2019-0107.

DOI:10.1515/dx-2019-0107
PMID:32146439
Abstract

The genealogy of graduate medical education in America begins at the bedside. However, today's graduate medical trainees work in a training environment that is vastly different from medical training a century ago. The goal of the Graduate Medical Education Laboratory (GEL) Study, supported by the American Medical Association's (AMA) "Reimagining Residency" initiative, is to determine the factors in the training environment that most contribute to resident well-being and developing diagnostic skills. We believe that increasing time at the bedside will improve clinical skill, increase professional fulfillment, and reduce workplace burnout. Our graduate medical education laboratory will test these ideas to understand which interventions can be shared among all training programs. Through the GEL Study, we aim to ensure resident readiness for practice as we understand, then optimize, the learning environment for trainees and staff.

摘要

美国的研究生医学教育起源于临床。然而,如今的研究生医学受训者所处的培训环境与一个世纪前的医学培训大不相同。美国医学协会(AMA)“重新构想住院医师规范化培训”倡议支持的研究生医学教育实验室(GEL)研究旨在确定培训环境中对住院医师幸福感和诊断技能发展最有贡献的因素。我们认为增加床边时间将提高临床技能,增加职业满足感,并减少工作场所倦怠。我们的研究生医学教育实验室将通过测试这些想法来了解哪些干预措施可以在所有培训计划中共享。通过 GEL 研究,我们旨在确保住院医师为实践做好准备,因为我们了解并优化了受训者和工作人员的学习环境。

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