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医学教育领导力技能培养:系统评价方案。

Development of Leadership Skills in Medical Education: Protocol for a Scoping Review.

机构信息

Center for Studies and Development of Health Education, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, São Paulo, Brazil.

GEISATEC Research Group, Barretos Cancer Hospital, Barretos, Brazil.

出版信息

JMIR Res Protoc. 2024 Oct 22;13:e62810. doi: 10.2196/62810.

DOI:10.2196/62810
PMID:39436686
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11538880/
Abstract

BACKGROUND

Leadership is recognized as an essential competency in health care and science, being central for professionals to face health challenges. Few physicians feel prepared to serve as leaders in the health care environment, and few receive training in the leadership skills needed to be successful. Teaching leadership skills together with extensive, longitudinal, clinical education in an authentic and nurturing environment can effectively develop students for leadership in medicine. Studies on the subject still do not show the best way to implement it in medical education, and an updated review is necessary.

OBJECTIVE

The aim of this study is to identify the types of available evidence on the teaching of leadership skills in undergraduate courses in the health area, analyze them, determine knowledge gaps, and disseminate the research results.

METHODS

This is a scoping review that will consider studies on leadership skills in medical and health undergraduate courses. Primary studies published in English, Spanish, and Portuguese since 2019 will be considered. The search will be performed in 8 databases, and reference lists will be searched for additional studies. Duplicates will be removed, and 2 independent reviewers will examine the titles, abstracts, and full texts of the selected studies. Data extraction will be performed using a tool developed by the researchers.

RESULTS

The scoping review is currently in progress. The preliminary database search has been completed, yielding a total of 1213 articles across multiple databases. The next stages, including deduplication, title and abstract screening, and full-text review, are scheduled to be completed by December 2024. Data extraction and analysis are expected to be finalized by March 2025, with the final report anticipated to be ready for submission by June 2025.

CONCLUSIONS

This scoping review on leadership in the medical curriculum can significantly contribute to the literature by organizing and synthesizing the available evidence on teaching leadership skills in undergraduate courses in the health area. Furthermore, by analyzing evidence and identifying knowledge gaps, the study can provide valuable insights to develop more efficient and comprehensive medical education programs, thus preparing students to take on leadership roles in the complex environment of health care.

TRIAL REGISTRATION

Open Science Framework YEXKB; https://osf.io/yexkb.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/62810.

摘要

背景

领导力被认为是医疗保健和科学领域的一项重要能力,对于专业人员应对健康挑战至关重要。很少有医生觉得自己有能力在医疗保健环境中担任领导者,也很少有人接受过成功所需的领导力技能培训。在真实和培养的环境中,将领导力技能教学与广泛的、纵向的临床教育相结合,可以有效地培养学生在医学领域的领导力。关于这个主题的研究仍然没有显示出在医学教育中实施它的最佳方式,因此需要进行更新的综述。

目的

本研究旨在确定现有关于本科医疗保健课程领导力技能教学的证据类型,对其进行分析,确定知识空白,并传播研究结果。

方法

这是一项范围综述,将考虑本科医疗和健康课程领导力技能的研究。将考虑自 2019 年以来以英文、西班牙文和葡萄牙文发表的初级研究。将在 8 个数据库中进行搜索,并对参考文献进行额外研究的搜索。将去除重复项,2 位独立评审员将检查所选研究的标题、摘要和全文。将使用研究人员开发的工具进行数据提取。

结果

范围综述正在进行中。初步数据库搜索已经完成,在多个数据库中共获得了 1213 篇文章。接下来的阶段,包括去重、标题和摘要筛选以及全文审查,预计将在 2024 年 12 月完成。数据提取和分析预计将在 2025 年 3 月完成,最终报告预计将在 2025 年 6 月提交。

结论

这项关于医学课程领导力的范围综述可以通过组织和综合本科医疗保健课程领导力技能教学的现有证据,为文献做出重大贡献。此外,通过分析证据和确定知识空白,该研究可以为开发更有效和全面的医学教育计划提供有价值的见解,从而使学生能够在医疗保健复杂环境中承担领导角色。

试验注册

开放科学框架 YEXKB;https://osf.io/yexkb。

国际注册报告标识符(IRRID):PRR1-10.2196/62810。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16ca/11538880/3106acf04861/resprot_v13i1e62810_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16ca/11538880/3106acf04861/resprot_v13i1e62810_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16ca/11538880/3106acf04861/resprot_v13i1e62810_fig1.jpg

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本文引用的文献

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Building leadership capacity among junior faculty: Evaluating multi-level outcomes of a leadership program.培养初级教员的领导能力:评估一项领导力项目的多层次成果。
J Clin Transl Sci. 2023 Apr 13;7(1):e111. doi: 10.1017/cts.2023.529. eCollection 2023.
2
Management and Leadership Development in Healthcare Professionals.医疗保健专业人员的管理和领导力发展。
JNMA J Nepal Med Assoc. 2023 Mar 1;61(259):294-296. doi: 10.31729/jnma.8100.
3
Knowledge, attitudes, and practice of leadership skills among undergraduate medical students.
本科医学生领导力技能的知识、态度和实践。
Acta Biomed. 2023 Feb 13;94(1):e2023009. doi: 10.23750/abm.v94i1.13461.
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Leadership behaviours in interprofessional student teamwork.跨专业学生团队合作中的领导行为。
BMC Med Educ. 2022 Dec 2;22(1):834. doi: 10.1186/s12909-022-03923-5.
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Leadership Curriculum in Medical Education: Exploring Student and Faculty Perceptions in a US Medical School in Qatar.医学教育中的领导力课程:探索卡塔尔一所美国医学院学生和教师的看法。
J Healthc Leadersh. 2022 Oct 4;14:163-173. doi: 10.2147/JHL.S370645. eCollection 2022.
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An evaluation of the impact for healthcare professionals after a leadership innovation fellowship program.领导力创新研究员项目对医疗专业人员的影响评估。
J Med Imaging Radiat Sci. 2022 Dec;53(4S):S137-S144. doi: 10.1016/j.jmir.2022.09.004. Epub 2022 Oct 3.
7
Using an interprofessional competency framework to enhance collaborative pediatric nursing education and practice.运用跨专业能力框架提升儿科护理协作教育与实践。
BMC Nurs. 2022 Jun 10;21(1):147. doi: 10.1186/s12912-022-00932-z.
8
Leadership Development in U.S. Undergraduate Medical Education: A Scoping Review of Curricular Content and Competency Frameworks.美国本科医学教育领导力发展:课程内容和能力框架的范围综述。
Acad Med. 2022 Jun 1;97(6):899-908. doi: 10.1097/ACM.0000000000004632. Epub 2022 Feb 15.
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How the COVID-19 Pandemic Has Demonstrated a Need for Increased Leadership Education in Medicine.新冠疫情如何表明医学领域需要加强领导力教育。
J Healthc Leadersh. 2021 Jun 18;13:137-138. doi: 10.2147/JHL.S317847. eCollection 2021.
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