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一项关于医学院学生运营诊所选修课以提高术后随访依从性的提议。

A Proposal of a Student Run Clinic Medical School Elective to Improve Adherence to Postoperative Follow-Up.

作者信息

Adly-Gendi Patrick, Koltz Elizabeth, Arumugam Dena

机构信息

Hackensack Meridian School of Medicine, Nutley, NJ, USA.

Palisades Medical Center, North Bergen, NJ, USA.

出版信息

Adv Med Educ Pract. 2024 Sep 28;15:903-906. doi: 10.2147/AMEP.S458921. eCollection 2024.

Abstract

Patient nonadherence to healthcare follow-up appointments is an ever-growing problem leading to worsened health outcomes and increased morbidity and mortality. Social factors, namely lack of transportation, are commonly implicated as a cause for the lack of following up. Medical students make up a significant portion of the healthcare team but are mostly viewed as passive learners on clinical rotations and do not receive many active opportunities to engage in direct clinical care. Here, an elective for 4 year medical students where students operate a clinic and work alongside residents to hold virtual surgical follow-up appointments to assess for complications and monitor healing is proposed. This could potentially bypass many of the social barriers that patients face while giving students a more direct role in patient care and a focused educational experience while reducing stress on the physical healthcare clinic system.

摘要

患者不遵守医疗随访预约是一个日益严重的问题,会导致健康状况恶化、发病率和死亡率上升。社会因素,即缺乏交通工具,通常被认为是缺乏随访的一个原因。医学生是医疗团队的重要组成部分,但在临床轮转中大多被视为被动学习者,没有太多积极参与直接临床护理的机会。在此,提出了一项针对四年级医学生的选修课,学生们在其中运营一家诊所,并与住院医生合作进行虚拟手术随访预约,以评估并发症和监测愈合情况。这有可能绕过患者面临的许多社会障碍,同时让学生在患者护理中发挥更直接的作用,并获得专注的教育体验,同时减轻实体医疗诊所系统的压力。

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