内科住院医师新的医院医学培训轨道：首个 15 年的描述和项目评估。

A Novel Hospital Medicine Training Track for Internal Medicine Residents: Description and Program Evaluation of the First 15 Years.

机构信息

All authors are with the University of Colorado School of Medicine.

is Assistant Professor of Medicine, Program Co-Director, Hospitalist Training Program, and Associate Program Director, Internal Medicine Residency Program, Division of Hospital Medicine, Department of Medicine.

出版信息

J Grad Med Educ. 2022 Jun;14(3):318-325. doi: 10.4300/JGME-D-21-00730.1. Epub 2022 Jun 13.

DOI:10.4300/JGME-D-21-00730.1

PMID:35754625

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9200261/

Abstract

BACKGROUND

The growth of hospital medicine has resulted in a parallel growth of hospital medicine training within internal medicine residency programs (IMRPs), but the experience and outcomes of these training offerings have not yet been described.

OBJECTIVE

To describe the first dedicated hospitalist track and the program evaluation data.

METHODS

The University of Colorado Hospitalist Training Track (HTT) is a 3-year track within the IMRP with robust inpatient clinical training, specialized didactics, experiential improvement work, and career mentorship. We collected data on graduates' current practices and board certification pass rates. To further evaluate the track, we electronically sent a cross-sectional survey to 124 graduates from 2005 to 2019 to identify current practice settings, graduate roles, and assessment of the training track.

RESULTS

Among 124 graduates, 97 (78.2%) practice hospital medicine, and the board certification pass rate was slightly higher than the overall IMRP pass rate for those graduating classes. Sixty-two (50%) graduates responded to the survey. Among respondents, 50 (80.6%) currently practice hospital medicine and 34 (54.8%) practice in an academic setting. The majority (50, 80.6%) hold leadership roles and are involved in a variety of scholarship, educational, and operational projects. Dedicated clinical training, didactics, and mentorship were valued by respondents.

CONCLUSIONS

This represents the first description and program evaluation of a HTT for IM residents. A dedicated HTT produces graduates who choose hospital medicine careers at high rates and participate in a wide variety of leadership and nonclinical roles.

摘要

背景

随着医院医学的发展，内科住院医师培训计划（IMRPs）内部也出现了医院医学培训的平行发展，但这些培训课程的经验和结果尚未得到描述。

目的

描述第一个专门的医院医生培训课程和计划评估数据。

方法

科罗拉多大学医院医生培训课程（HTT）是 IMRP 内的一个为期 3 年的课程，具有强大的住院临床培训、专业教学、经验改进工作和职业指导。我们收集了毕业生当前实践和委员会认证通过率的数据。为了进一步评估该课程，我们向 2005 年至 2019 年的 124 名毕业生发送了一份电子横断面调查，以确定当前的实践环境、毕业生的角色以及对培训课程的评估。

结果

在 124 名毕业生中，97 名（78.2%）从事医院医学工作，委员会认证通过率略高于同期 IMRP 毕业生的整体通过率。62 名（50%）毕业生对调查做出了回应。在回答者中，50 名（80.6%）目前从事医院医学工作，34 名（54.8%）在学术环境中工作。大多数（50 名，80.6%）担任领导职务，并参与各种奖学金、教育和运营项目。有针对性的临床培训、教学和指导受到了受访者的重视。