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专业医学教育方法:为临床医生调动证据

Professional medical education approaches: mobilizing evidence for clinicians.

作者信息

Lyu Xiafei, Li Sheyu

机构信息

Department of Radiology, West China Hospital, Sichuan University, Chengdu, China.

Department of Endocrinology and Metabolism, West China Hospital, Sichuan University, Chengdu, China.

出版信息

Front Med (Lausanne). 2023 Jul 28;10:1071545. doi: 10.3389/fmed.2023.1071545. eCollection 2023.

Abstract

Rapidly proliferating high-quality evidence supports daily decision-making in clinical practice. Continuing professional medical education links this evidence to practicing clinicians who are strongly motivated to improve the quality of their care by using the latest information. Approaches to professional education vary, and their effects depend on specific scenarios. This narrative review summarizes the main approaches for professional medical education that facilitate the mobilization of evidence for clinicians. It includes traditional learning (passive and active dissemination of educational materials, lectures, and mass media dissemination), constructivist learning (engaging in local consensus processes and education outreach visits, interfacing with local opinion leaders, conducting patient-mediated interventions, employing audit and feedback processes, and utilizing clinical decision-supporting systems), and blended learning approaches (the integration of in-person or online passive learning with active and creative learning by the learners). An optimized selection from these approaches is challenging but critical to clinicians and healthcare systems.

摘要

迅速增加的高质量证据为临床实践中的日常决策提供了支持。继续医学专业教育将这些证据与执业临床医生联系起来,这些医生强烈希望通过使用最新信息来提高医疗质量。专业教育的方法各不相同,其效果取决于具体情况。本叙述性综述总结了促进为临床医生提供证据的主要医学专业教育方法。它包括传统学习(被动和主动传播教育材料、讲座以及大众媒体传播)、建构主义学习(参与地方共识过程和教育外展访问、与地方意见领袖交流、进行患者介导的干预、采用审核和反馈过程以及利用临床决策支持系统)以及混合学习方法(将面对面或在线被动学习与学习者的主动和创造性学习相结合)。从这些方法中进行优化选择具有挑战性,但对临床医生和医疗系统至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a9f/10419302/d1d3c153090b/fmed-10-1071545-g0001.jpg

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