团队实践培训：加拿大各地家庭医学研究生站点分布的描述性分析。
Training in Team-Based Practices: A Descriptive Analysis of Family Medicine Postgraduate Site Distribution across Canada.
机构信息
Research Coordinator, Department of Family Medicine, Faculty of Health Sciences, McMaster University, Hamilton, ON, PhD Student, Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON.
Medical Student, Michael G. DeGroote School of Medicine, Faculty of Health Sciences, McMaster University, Hamilton, ON.
出版信息
Healthc Policy. 2023 Nov;19(2):48-62. doi: 10.12927/hcpol.2023.27233.
BACKGROUND
College of Family Physicians of Canada accreditation policies contemplate exemplary ratings for postgraduate family medicine programs that train residents in sites aligned with the Patient's Medical Home (PMH) vision. This may overrepresent the PMH in training relative to what is available in independent practice.
METHODS
We appraised training sites to describe the degree to which PMH features are present in family medicine education across the country.
RESULTS
More than half (70.7%) of Canadian training sites reflect PMH features.
CONCLUSION
Education policy that incentivizes PMH in training may create downstream tension for physicians who find these practices unavailable upon graduation.
背景
加拿大家庭医生学院的认证政策设想对以符合患者医疗之家（PMH）愿景的站点培训住院医生的研究生家庭医学项目给予卓越评级。这可能会使 PMH 在培训中的代表性过高，而相对于独立实践中可用的情况则过高。
方法
我们评估了培训地点，以描述全国范围内家庭医学教育中 PMH 特征的存在程度。
结果
超过一半（70.7%）的加拿大培训地点反映了 PMH 特征。
结论
激励培训中 PMH 的教育政策可能会给毕业后发现这些实践不可用的医生带来下游压力。
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