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将生活方式医学的支柱纳入医师助理/助理医师教育:对患者、医师助理/助理医师教育以及医师助理/助理医师的益处。

Incorporating the Pillars of Lifestyle Medicine into Physician Assistant/Associate Education: A Benefit for Patients, Physician Assistants/Associate Education, and Physician Assistants/Associates.

作者信息

Shehade Karen A, Broughton Adam

机构信息

Karen A. Shehade, MBA, MHP, PA-C, Part Time Faculty, Department of Medical Sciences, Northeastern University, Boston, Massachusetts.

Adam Broughton, MS, PA-C, Assistant Clinical Professor, Department of Medical Sciences, Northeastern University, Boston, Massachusetts.

出版信息

J Physician Assist Educ. 2024 Dec 1;35(4):406-410. doi: 10.1097/JPA.0000000000000622. Epub 2024 Oct 10.

Abstract

INTRODUCTION

The value of using lifestyle medicine (LM) to prevent disease is well established, yet medical education about LM is inconsistent, for both physicians and physician assistants/associates (PAs). As medical providers, PAs are uniquely positioned, with careers in a variety of disciplines from primary care to intensive care, as well as an ability to move across disciplines throughout their career lifespan. Therefore, the addition of LM principles in PA education can affect patients across the lifespan and in a wide variety of clinical settings. In addition, with burnout prevalent among PA students, the addition of LM to PA education may be able to give these future clinicians the tools they need to manage stress and improve overall wellness. The purpose of this study was to share with PA educators the valuable lessons learned when introducing LM into PA curriculum in hopes of broader adoption.

METHODS

The American College of Lifestyle Medicine (ACLM) provides modules for teaching LM to medical providers which was adopted into the Northeastern University PA Program's didactic curriculum in the summer of 2023. An online survey was administered to first-year PA students in July 2023 to evaluate the PA students' perspectives on the value of adding a LM curriculum as part of their education to care for patients and the content provided through ACLM and to determine their perceived value in using the information for themselves as part of preventing future provider burnout.

RESULTS

Most respondents (91%) indicated that they were either "likely" or "very likely" to use the information learned in the LM modules as part of their future patient care, and 86.4% indicated that they would use the information as part of their own self-care.

DISCUSSION

Most PA student respondents (88.6%) thought that the components of LM complemented the existing PA curriculum in primary care and (86.4%) indicated that they will use the information as part of their own self-care. However, given the intense volume of information provided to PA students for their general primary care education, it was suggested to pare down the volume of materials to streamline the curriculum. Overall, these PA students believe that LM should comprise a portion of their PA medical education curricula for their patients and for themselves.

摘要

引言

运用生活方式医学(LM)预防疾病的价值已得到充分确立,但对于医生和医师助理/协理医师(PA)而言,有关LM的医学教育并不一致。作为医疗服务提供者,PA处于独特的位置,其职业涉及从初级保健到重症监护的各种学科,并且在整个职业生涯中能够跨学科发展。因此,在PA教育中加入LM原则可以影响各个年龄段的患者,并适用于各种临床环境。此外,由于PA学生中职业倦怠普遍存在,在PA教育中加入LM可能能够为这些未来的临床医生提供管理压力和改善整体健康所需的工具。本研究的目的是与PA教育工作者分享在将LM引入PA课程时获得的宝贵经验教训,以期更广泛地采用。

方法

美国生活方式医学学院(ACLM)提供了向医疗服务提供者教授LM的模块,该模块于2023年夏季被纳入东北大学PA项目的理论课程。2023年7月对一年级PA学生进行了一项在线调查,以评估PA学生对将LM课程作为其教育的一部分以照顾患者的价值以及通过ACLM提供的内容的看法,并确定他们认为将这些信息用于自身以预防未来医疗服务提供者职业倦怠的价值。

结果

大多数受访者(91%)表示他们“可能”或“非常可能”将在LM模块中学到的信息用于未来的患者护理,86.4%的受访者表示他们将把这些信息用于自身的自我护理。

讨论

大多数PA学生受访者(88.6%)认为LM的组成部分补充了初级保健中现有的PA课程,并且(86.4%)表示他们将把这些信息用于自身的自我护理。然而,考虑到为PA学生提供的用于一般初级保健教育的信息量很大,建议精简材料数量以简化课程。总体而言,这些PA学生认为LM应该成为他们PA医学教育课程的一部分,既为了患者,也为了他们自己。

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