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准备好实践了吗?国家对急诊医学过渡到实践课程的建议。

Ready for practice? National recommendations for emergency medicine transition to practice curriculum.

机构信息

Department of Emergency Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, MB, Canada.

Department of Emergency Medicine, University of Saskatchewan, Saskatoon, SK, Canada.

出版信息

CJEM. 2023 Jul;25(7):558-567. doi: 10.1007/s43678-023-00534-x. Epub 2023 Jun 30.

DOI:10.1007/s43678-023-00534-x
PMID:37389772
Abstract

BACKGROUND

Transition from residency to unsupervised practice represents a critical stage in learning and professional identity formation, yet there is a paucity of literature to inform residency curricula and emergency department transition programming for new faculty.

OBJECTIVE

The objective of this study was to develop consensus-based recommendations to optimize the transition to practice phase of emergency medicine training.

METHODS

A literature review and results of a survey of emergency medicine (EM) residency program directors informed focus groups of recent (within 5 years) EM graduates. Focus group transcripts were analyzed following conventional content analysis. Preliminary recommendations, based on identified themes, were drafted and presented at the 2022 Canadian Association of Emergency Physicians (CAEP) Academic Symposium on Education. Through a live presentation, symposium attendees representing the Canadian national EM community participated in a facilitated discussion of the recommendations. The authors incorporated this feedback to construct a final set of 14 recommendations, 8 targeted toward residency training programs and 6 specific to department leadership.

CONCLUSION

The Canadian EM community used a structured process to develop 14 best practice recommendations to enhance the transition to practice phase of residency training as well as the transition period in the career of junior attending physicians.

摘要

背景

从住院医师向独立行医的转变是学习和职业身份形成的关键阶段,但关于住院医师课程和新教师急诊过渡计划的文献很少。

目的

本研究旨在制定基于共识的建议,以优化急诊医学培训的实践阶段过渡。

方法

文献回顾和对急诊医学(EM)住院医师项目主任的调查结果为最近(5 年内)急诊医学毕业生的焦点小组提供了信息。对焦点小组的转录进行了常规内容分析。根据确定的主题起草初步建议,并在 2022 年加拿大急诊医师协会(CAEP)学术研讨会教育专题上提出。通过现场演示,代表加拿大全国急诊医学社区的研讨会与会者参与了对建议的专题讨论。作者结合这些反馈意见,构建了最后一组 14 项建议,其中 8 项针对住院医师培训计划,6 项针对部门领导。

结论

加拿大急诊医学界使用结构化流程制定了 14 项最佳实践建议,以加强住院医师培训的实践阶段过渡以及初级主治医生职业生涯中的过渡阶段。

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本文引用的文献

1
Transition to practice curriculum for general internal medicine physicians: scoping review and Canadian national survey.普通内科医师实践课程的转变:范围综述和加拿大全国调查。
BMC Med Educ. 2022 Aug 9;22(1):609. doi: 10.1186/s12909-022-03673-4.
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Competency based medical education (CBME) in CCFP(EM) programs.以能力为基础的医学教育(CBME)在加拿大家庭医生学院(CFPC)急诊医学项目中。
CJEM. 2022 Sep;24(6):599-605. doi: 10.1007/s43678-022-00345-6. Epub 2022 Jul 24.
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Autonomy and developing physicians: Reimagining supervision using self-determination theory.
自主性与成长中的医生:运用自我决定理论重新构想监督方式
Med Educ. 2022 Jan;56(1):56-63. doi: 10.1111/medu.14580. Epub 2021 Jun 20.
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Meaningful feedback through a sociocultural lens.从社会文化视角出发的有意义反馈。
Med Teach. 2019 Dec;41(12):1342-1352. doi: 10.1080/0142159X.2019.1656804. Epub 2019 Sep 24.
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Becoming a Clinical Teacher: Identity Formation in Context.成为临床教师:情境中的身份形成。
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6
Twelve tips to promote a feedback culture with a growth mind-set: Swinging the feedback pendulum from recipes to relationships.十二条促进成长心态反馈文化的建议:将反馈从“菜谱”转变为“关系”。
Med Teach. 2019 Jun;41(6):625-631. doi: 10.1080/0142159X.2018.1432850. Epub 2018 Feb 7.
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The do's, don't and don't knows of supporting transition to more independent practice.支持向更独立的实践过渡的可做、不可做和未知事项。
Perspect Med Educ. 2018 Feb;7(1):8-22. doi: 10.1007/s40037-018-0403-3.
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Preparation in the business and practice of medicine: perspectives from recent gynecologic oncology graduates and program directors.医学业务与实践中的准备工作:近期妇科肿瘤学毕业生及项目主任的观点
Gynecol Oncol Res Pract. 2017 Sep 22;4:14. doi: 10.1186/s40661-017-0051-z. eCollection 2017.
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Team communication patterns in emergency resuscitation: a mixed methods qualitative analysis.急诊复苏中的团队沟通模式:一项混合方法的定性分析
Int J Emerg Med. 2017 Dec;10(1):24. doi: 10.1186/s12245-017-0149-4. Epub 2017 Jul 14.
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Practice transition in graduate medical education.毕业后医学教育中的实践过渡。
Clin Teach. 2017 Oct;14(5):344-348. doi: 10.1111/tct.12593. Epub 2017 Feb 6.