学术及社区儿科初级保健机构中的住院医师经验与教育：应对不断变化的医疗环境的经验教训
Resident Experience and Education in Academic and Community Pediatric Primary Care Sites: Lessons for a Changing Healthcare Landscape.
作者信息
Fogel Benjamin N, Samuels Ronald C, Finkelstein Jonathan
机构信息
Present Address: Department of Pediatrics, Penn State College of Medicine, 500 University Drive, Mail Code HS83, Hershey, PA 17033-0850 USA.
Division of General Pediatrics, Boston Children's Hospital, Harvard Medical School, Boston, MA USA.
出版信息
Med Sci Educ. 2018 Oct 17;29(1):29-33. doi: 10.1007/s40670-018-00633-w. eCollection 2019 Mar.
INTRODUCTION
Efforts to improve pediatric primary care training in residency are important both for the residents and for the patients cared for in residency clinics. Pediatric residents typically get their primary care training at primary care centers affiliated with an academic center or at community-based locations. We aimed to compare residents' experience of continuity clinic in academic centers and community settings, and to identify relative strengths and weaknesses of each.
METHODS
Survey data was evaluated for residents at one large pediatric residency program.
RESULTS
Community sites had relative strengths in patient flow, population management, and perception of overall quality of care. Academic sites had relative strengths in continuity of care and ease of follow-up of results.
CONCLUSIONS
Community and academic pediatric primary care training sites have varied strengths that could inform efforts to improve residency training to better meet the needs of residents and patients.
引言
努力改善住院医师阶段的儿科初级保健培训，对住院医师以及在住院医师诊所接受治疗的患者都很重要。儿科住院医师通常在附属于学术中心的初级保健中心或社区场所接受初级保健培训。我们旨在比较住院医师在学术中心和社区环境中连续性诊所的体验，并确定两者各自的相对优势和劣势。
方法
对一个大型儿科住院医师培训项目的住院医师的调查数据进行了评估。
结果
社区场所在患者流量、人群管理以及对整体护理质量的认知方面具有相对优势。学术场所在护理连续性和结果随访便利性方面具有相对优势。
结论
社区和学术性儿科初级保健培训场所具有不同的优势，这些优势可为改善住院医师培训以更好地满足住院医师和患者需求的努力提供参考。
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