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2
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本文引用的文献

1
Health Systems Science in Medical Education: Unifying the Components to Catalyze Transformation.医学教育中的卫生系统科学:统一要素以促进变革。
Acad Med. 2020 Sep;95(9):1362-1372. doi: 10.1097/ACM.0000000000003400.
2
Shifting Academic Health Centers From a Culture of Community Service to Community Engagement and Integration.将学术医疗中心的文化从社区服务转变为社区参与和融合。
Acad Med. 2019 Jun;94(6):763-767. doi: 10.1097/ACM.0000000000002711.
3
Educating patient-centered, systems-aware physicians: a qualitative analysis of medical student perceptions of value-added clinical systems learning roles.以患者为中心、具备系统意识的医生的培养:对医学生对增值临床系统学习角色的看法的定性分析。
BMC Med Educ. 2018 Nov 1;18(1):248. doi: 10.1186/s12909-018-1345-5.
4
Curricular Transformation in Health Systems Science: The Need for Global Change.卫生系统科学课程改革:全球变革的需要。
Acad Med. 2018 Oct;93(10):1431-1433. doi: 10.1097/ACM.0000000000002284.
5
A practical guide for implementing and maintaining value-added clinical systems learning roles for medical students using a diffusion of innovations framework.使用创新扩散框架为医学生实施和维护增值临床系统学习角色的实用指南。
Adv Health Sci Educ Theory Pract. 2018 Oct;23(4):699-720. doi: 10.1007/s10459-018-9822-5. Epub 2018 Mar 21.
6
Aligning Education With Health Care Transformation: Identifying a Shared Mental Model of "New" Faculty Competencies for Academic Faculty.使教育与医疗保健转型保持一致:确定学术教师“新”能力的共享心智模式。
Acad Med. 2018 Feb;93(2):256-264. doi: 10.1097/ACM.0000000000001895.
7
A Constructive Reframing of Student Roles and Systems Learning in Medical Education Using a Communities of Practice Lens.运用实践共同体视角对医学教育中学生角色与系统学习进行建设性重构
Acad Med. 2017 Dec;92(12):1687-1694. doi: 10.1097/ACM.0000000000001778.
8
How Can Medical Students Add Value? Identifying Roles, Barriers, and Strategies to Advance the Value of Undergraduate Medical Education to Patient Care and the Health System.医学生如何增加价值?确定提升本科医学教育对患者护理和卫生系统价值的角色、障碍及策略。
Acad Med. 2017 Sep;92(9):1294-1301. doi: 10.1097/ACM.0000000000001662.
9
Value-Added Clinical Systems Learning Roles for Medical Students That Transform Education and Health: A Guide for Building Partnerships Between Medical Schools and Health Systems.为医学生提供增值临床系统学习角色,变革医学教育与健康:医学院校与卫生系统建立伙伴关系指南
Acad Med. 2017 May;92(5):602-607. doi: 10.1097/ACM.0000000000001346.
10
Adding Value to the Health Care System: Identifying Value-Added Systems Roles for Medical Students.为医疗保健系统增添价值:确定医学生在增值系统中的角色。
Am J Med Qual. 2017 May/Jun;32(3):261-270. doi: 10.1177/1062860616645401. Epub 2016 Apr 26.

医疗专业学生在 COVID-19 大流行期间对卫生系统需求的贡献:美国医学院的潜在策略和流程。

Contributions of Health Professions Students to Health System Needs During the COVID-19 Pandemic: Potential Strategies and Process for U.S. Medical Schools.

机构信息

N. Long is a third-year medical student, Penn State College of Medicine, Hershey, Pennsylvania.

D.R. Wolpaw is professor of medicine and humanities, Penn State University College of Medicine, Hershey, Pennsylvania.

出版信息

Acad Med. 2020 Nov;95(11):1679-1686. doi: 10.1097/ACM.0000000000003611.

DOI:10.1097/ACM.0000000000003611
PMID:32701558
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7375189/
Abstract

The COVID-19 pandemic poses an unprecedented challenge to U.S. health systems, particularly academic health centers (AHCs) that lead in providing advanced clinical care and medical education. No phase of AHC efforts is untouched by the crisis, and medical schools, prioritizing learner welfare, are in the throes of adjusting to suspended clinical activities and virtual classrooms. While health professions students are currently limited in their contributions to direct clinical care, they remain the same smart, innovative, and motivated individuals who chose a career in health care and who are passionate about contributing to the needs of people in troubled times. The groundwork for operationalizing their commitment has already been established through the identification of value-added, participatory roles that support learning and professional development in health systems science (HSS) and clinical skills. This pandemic, with rapidly expanding workforce and patient care needs, has prompted a new look at how students can contribute. At the Penn State College of Medicine, staff and student leaders formed the COVID-19 Response Team to prioritize and align student work with health system needs. Starting in mid-March 2020, the authors used qualitative methods and content analysis of data collated from several sources to identify 4 categories for student contributions: the community, the health care delivery system, the workforce, and the medical school. The authors describe a nimble coproduction process that brings together all stakeholders to facilitate work. The learning agenda for these roles maps to HSS competencies, an evolving requirement for all students. The COVID-19 pandemic has provided a unique opportunity to harness the capability of students to improve health.Other AHCs may find this operational framework useful both during the COVID-19 pandemic and as a blueprint for responding to future challenges that disrupt systems of education and health care in the United States.

摘要

新冠疫情对美国医疗系统构成了前所未有的挑战,尤其是在提供先进临床护理和医学教育方面处于领先地位的学术医疗中心(AHC)。这场危机几乎触及 AHC 工作的各个方面,医学院优先考虑学习者的福利,正在努力适应暂停的临床活动和虚拟课堂。虽然卫生专业的学生目前在直接临床护理方面的贡献有限,但他们仍然是那些选择医疗保健职业并热衷于在困难时期为人们的需求做出贡献的聪明、创新和积极进取的人。通过确定支持卫生系统科学(HSS)和临床技能学习和专业发展的增值、参与性角色,已经为实施他们的承诺奠定了基础。这场大流行,伴随着迅速扩大的劳动力和患者护理需求,促使人们重新审视学生如何做出贡献。在宾夕法尼亚州立大学医学院,工作人员和学生领导组成了 COVID-19 应对团队,优先考虑并调整学生的工作与医疗系统的需求。从 2020 年 3 月中旬开始,作者使用定性方法和对从多个来源收集的数据进行内容分析,确定了学生贡献的 4 个类别:社区、医疗服务提供系统、劳动力和医学院。作者描述了一个灵活的共同生产过程,将所有利益相关者聚集在一起,以促进工作。这些角色的学习议程与 HSS 能力相对应,这是所有学生的一项不断发展的要求。新冠疫情为利用学生的能力来改善健康状况提供了一个独特的机会。其他 AHC 可能会发现这个运营框架在 COVID-19 大流行期间以及作为应对扰乱美国教育和医疗保健系统的未来挑战的蓝图都很有用。