Nickell Leslie, Kassam Aliya, Bandiera Glen
Department of Family and Community Medicine, Temerty Faculty of Medicine, University of Toronto, Ontario, Canada.
Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Alberta, Canada.
Can Med Educ J. 2022 Aug 26;13(4):15-22. doi: 10.36834/cmej.73844. eCollection 2022 Aug.
The transition from undergraduate medical education (UGME) to postgraduate medical education (PGME) is a time of vulnerability for medical schools, postgraduate residency programs, and most importantly, traineesThere is a disconnect between the UGME and PGME experience. Student information shared by UGME is primarily summative of knowledge and skills; PGME programs are unaware of specific learner accommodation requirements, tailored supervisory needs, or potential professionalism concerns identified during UGMEThis lack of integration between UGME and PGME increases potential risk to learners, postgrad programs and patientsBetter linkages and communication along the education continuum could optimize learning and reduce inefficiency and riskThe Medical Council of Canada (MCC) has asked if there is a role for a learner handover (LH) within their licensing processes; however the intended purpose of an LH must first be determinedA Canadian-based LH referred to as a Learner Education Handover (LEH) model including disclosure of student learning/disability accommodation needs, general health concerns, EDI/religious requirements, professionalism concerns, and recommendations for special focus in residency of specific areas of medical knowledge/skill is described.Findings from beta and pilot testing support the value and feasibility of the LEH model. Fundamental principles are outlined: LEH occurs post-residency matchLEH should be forward facing; focused on ongoing or recurring learner issues and needsLearners must be included in the processImplementation would require participation by all Canadian medical schools and all learnersImplementation challenges include: Ensuring learner safety following information disclosureEngaging UGME DeansProtection of information ensuring a 'need-to-know' status is maintainedIncorporating the LEH into the licensing activity could enable the MCC to support a system that proactively responds to learner needs, optimizes physician performance and promotes safe, high quality patient care.
从本科医学教育(UGME)过渡到研究生医学教育(PGME),对医学院校、研究生住院医师培训项目而言是个易出问题的阶段,而对学员来说最为重要。本科医学教育与研究生医学教育的体验存在脱节。本科医学教育所分享的学生信息主要是知识和技能的总结;研究生医学教育项目并不了解本科医学教育期间确定的学习者具体便利需求、量身定制的监督需求或潜在的职业素养问题。本科医学教育与研究生医学教育之间缺乏整合,增加了学员、研究生项目和患者面临的潜在风险。教育连续体之间更好的联系和沟通可以优化学习,降低效率低下和风险。加拿大医学委员会(MCC)询问在其许可程序中学习者交接(LH)是否能发挥作用;然而,必须首先确定学习者交接的预期目的。本文描述了一种名为学习者教育交接(LEH)模式的基于加拿大的学习者交接,包括披露学生学习/残疾便利需求、一般健康问题、平等、多样性和包容性/宗教要求、职业素养问题,以及在住院医师培训中对医学知识/技能特定领域进行特别关注的建议。贝塔测试和试点测试的结果支持了学习者教育交接模式的价值和可行性。概述了基本原则:学习者教育交接在住院医师匹配后进行;学习者教育交接应面向未来,关注持续或反复出现的学习者问题和需求;学习者必须参与该过程;实施需要加拿大所有医学院校和所有学习者的参与。实施挑战包括:信息披露后确保学习者安全;让本科医学教育院长参与进来;保护信息,确保维持“按需知晓”状态。将学习者教育交接纳入许可活动可以使加拿大医学委员会支持一个能够主动响应学习者需求、优化医生表现并促进安全、高质量患者护理的系统。
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