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High-value care education can learn from the evidence-based medicine movement: moving beyond competencies and curricula to culture.高价值医疗教育可以借鉴循证医学运动的经验:从能力和课程转向文化。
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Choosing Wisely campaigns globally: A shared approach to tackling the problem of overuse in healthcare.全球“明智选择”运动:应对医疗保健过度使用问题的共同方法。
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Current and Optimal Training in High-Value Care in the Internal Medicine Clerkship: A National Curricular Needs Assessment.内科实习中高价值医疗保健的现行和最佳培训:国家课程需求评估。
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Teaching High-Value Care in Pediatrics: A National Survey of Current Practices and Guide for Future Curriculum Development.儿科高价值医疗教学:当前实践的全国性调查及未来课程开发指南
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医学生如何从参与纵向资源管理医学教育项目(STARS)中受益:一项国际描述性评估

How Medical Students Benefit from Participating in a Longitudinal Resource Stewardship Medical Education Program (STARS): An International Descriptive Evaluation.

作者信息

Silverstein William K, Kerssens Marlou, Vaassen Sanne, Valencia Victoria, van Mook Walther N K A, Noben Cindy Y G, Moriates Christopher, Wong Brian M, Born Karen B

机构信息

Department of Medicine, University of Toronto, Toronto, ON, Canada.

Choosing Wisely Canada, Toronto, ON, Canada.

出版信息

J Gen Intern Med. 2025 Jan;40(1):146-152. doi: 10.1007/s11606-024-08971-9. Epub 2024 Jul 31.

DOI:10.1007/s11606-024-08971-9
PMID:39085581
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11780017/
Abstract

BACKGROUND

STARS (Students and Trainees Advocating for Resource Stewardship) is a medical student leadership program that promotes integration of resource stewardship (RS) into medical education in at least seven countries. Little is known about how participation affects student leaders.

AIM

To understand how partaking in STARS impacted participants' knowledge, skills, and influenced career plans, and aspirations.

SETTING AND PARTICIPANTS

We conducted qualitative semi-structured interviews with STARS participants (n = 27) from seven countries.

PROGRAM DESCRIPTION

STARS was designed to facilitate grassroots efforts that embed RS principles into medical education. STARS programs globally share common features: participation from several medical schools, centralized organizing hubs and leadership summits, and support from faculty mentors. Students take lessons learnt from centralized programming to implement changes that advance RS initiatives at their schools.

PROGRAM EVALUATION

Students finished STARS with better RS knowledge, enhanced change management skills (leadership, advocacy, collaboration), and a commitment to incorporate RS into future practice. Nearly all respondents hoped to pursue leadership activities in medicine, but most were unclear if they would focus efforts to advance RS.

DISCUSSION

STARS participants gained knowledge as it relates to RS, change management skills, and catalyzed a commitment to incorporate high-value care into future practice. Medical education initiatives should be leveraged as a key strategic approach to build RS capacity.

摘要

背景

STARS(倡导资源管理的学生和实习生)是一个医学生领导力项目,该项目在至少七个国家推动将资源管理(RS)融入医学教育。对于参与该项目如何影响学生领导者,我们知之甚少。

目的

了解参与STARS项目如何影响参与者的知识、技能,并影响其职业规划和抱负。

背景与参与者

我们对来自七个国家的STARS项目参与者(n = 27)进行了定性半结构化访谈。

项目描述

STARS旨在促进将RS原则融入医学教育的基层努力。全球的STARS项目具有共同特点:多个医学院校参与、集中的组织中心和领导力峰会,以及教师导师的支持。学生将从集中式课程中学到的知识用于实施变革,以推进其所在学校的RS倡议。

项目评估

学生完成STARS项目后,具备了更好的RS知识、更强的变革管理技能(领导力、倡导、协作),并承诺将RS纳入未来实践。几乎所有受访者都希望在医学领域开展领导活动,但大多数人不确定是否会专注于推进RS工作。

讨论

STARS项目参与者获得了与RS相关的知识、变革管理技能,并激发了将高价值医疗纳入未来实践的承诺。医学教育倡议应作为建设RS能力的关键战略方法加以利用。