轮次推理：住院环境中教授诊断推理的框架。
Reasoning on Rounds: a Framework for Teaching Diagnostic Reasoning in the Inpatient Setting.
机构信息
Medical Service, San Francisco VA Medical Center, San Francisco, CA, USA.
Department of Medicine, University of California San Francisco, San Francisco, CA, USA.
出版信息
J Gen Intern Med. 2023 Oct;38(13):3041-3046. doi: 10.1007/s11606-023-08359-1. Epub 2023 Aug 14.
Abstract
Internal medicine trainees learn a variety of clinical skills from resident clinical teachers in the inpatient setting. While diagnostic reasoning (DR) is increasingly emphasized as a core competency, trainees may not feel entirely comfortable teaching it. In this perspective article, we provide a framework for teaching DR during inpatient rounds, which includes focusing on the one-liner, structuring a reasoning-focused A&P, and performing a day of discharge reflection.
摘要
内科住院医师在住院环境中向住院医师临床教师学习各种临床技能。虽然诊断推理 (DR) 越来越被强调为核心能力，但住院医师可能并不完全愿意教授它。在这篇观点文章中，我们提供了在住院查房期间教授 DR 的框架，包括关注一线信息、构建以推理为重点的 A&P 以及进行一天的出院反思。
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