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变革医学院招生流程:优先考虑基于团队的技能和以患者为中心的价值观。

Transforming the Medical School Admissions Process: Prioritizing Team-Based Skills and Patient-Centered Values.

作者信息

Hung Isaac Y, Kain Alexandra, Vetter Thomas R

机构信息

School of Medicine, University of California Irvine, Irvine, CA, USA.

Frank H. Netter MD School of Medicine, Quinnipiac University, Hamden, CT, USA.

出版信息

J Med Educ Curric Dev. 2024 Dec 18;11:23821205241307764. doi: 10.1177/23821205241307764. eCollection 2024 Jan-Dec.

DOI:10.1177/23821205241307764
PMID:39703537
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11656417/
Abstract

This article examines the need for reform in medical school admissions to better align with the collaborative and patient-centered nature of contemporary healthcare. Traditional admissions processes prioritize academic excellence, often neglecting essential interpersonal and team-based skills. We advocate for several strategies to address this gap. Firstly, diversifying admissions committees to include healthcare professionals such as nurses and pharmacists, as well as patients can provide insights into candidates' teamwork abilities. Secondly, incorporating group interviews and exercises can better assess applicants' interpersonal skills and collaboration potential. We also propose leveraging the "Voice of the Consumer" (VOC) concept, using patient and family feedback to guide the selection of future physicians. This aligns with the shift toward shared decision-making in patient care. The paper underscores the importance of interprofessional education in addressing communication challenges within healthcare. By integrating these reforms early in medical education, we can cultivate physicians who excel in both evidence-based and patient-centered care. This perspective calls for a holistic evaluation process in medical school admissions, prioritizing patient-centered values and effective teamwork to develop healthcare professionals capable of navigating modern healthcare complexities.

摘要

本文探讨了医学院招生改革的必要性,以便更好地与当代医疗保健的协作性和以患者为中心的性质相契合。传统的招生流程优先考虑学术成绩,往往忽视了基本的人际沟通和团队协作技能。我们倡导采取多种策略来弥补这一差距。首先,使招生委员会多元化,纳入护士和药剂师等医疗保健专业人员以及患者,这样可以深入了解候选人的团队协作能力。其次,采用小组面试和实践活动能够更好地评估申请者的人际沟通技能和协作潜力。我们还建议利用“消费者之声”(VOC)概念,借助患者和家属的反馈来指导未来医生的选拔。这与患者护理向共同决策转变的趋势相契合。本文强调了跨专业教育在应对医疗保健领域沟通挑战方面的重要性。通过在医学教育早期整合这些改革措施,我们能够培养出在循证医疗和以患者为中心的医疗方面都表现出色的医生。这种观点呼吁在医学院招生中采用全面的评估流程,将以患者为中心的价值观和有效的团队协作置于优先地位,以培养出能够应对现代医疗保健复杂性的医疗专业人员。

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本文引用的文献

1
Patient Engagement in Medical Trainee Selection: A Scoping Review.患者参与医学生选拔:范围综述。
Acad Med. 2024 Jan 1;99(1):98-105. doi: 10.1097/ACM.0000000000005450. Epub 2023 Sep 12.
2
Team FIRST framework: Identifying core teamwork competencies critical to interprofessional healthcare curricula.团队FIRST框架:确定对跨专业医疗保健课程至关重要的核心团队合作能力。
J Clin Transl Sci. 2023 Mar 8;7(1):e106. doi: 10.1017/cts.2023.27. eCollection 2023.
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US Medical School Admissions Leaders' Experiences With Barriers to and Advancements in Diversity, Equity, and Inclusion.美国医学院招生负责人在多样性、公平性和包容性方面面临的障碍和取得的进展的经验。
JAMA Netw Open. 2023 Feb 1;6(2):e2254928. doi: 10.1001/jamanetworkopen.2022.54928.
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Using group interviews to innovate the selection process for new graduate nurses.
Nurs Manage. 2022 Oct 1;53(10):20-27. doi: 10.1097/01.NUMA.0000874492.78882.3f.
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Best practices for interviewing applicants for medical school admissions: a systematic review.医学专业招生面试申请人的最佳实践:系统评价。
Perspect Med Educ. 2022 Oct;11(5):239-246. doi: 10.1007/s40037-022-00726-8. Epub 2022 Sep 22.
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Trends in Adverse Event Rates in Hospitalized Patients, 2010-2019.2010-2019 年住院患者不良事件发生率趋势。
JAMA. 2022 Jul 12;328(2):173-183. doi: 10.1001/jama.2022.9600.
7
Key stakeholders' views, experiences and expectations of patient and public involvement in healthcare professions' education: a qualitative study.主要利益相关者对患者和公众参与医疗保健专业教育的看法、经验和期望:一项定性研究。
BMC Med Educ. 2022 Apr 22;22(1):305. doi: 10.1186/s12909-022-03373-z.
8
I-PASS handover system: a decade of evidence demands action.I-PASS 交接系统:十年证据要求采取行动。
BMJ Qual Saf. 2021 Oct;30(10):769-774. doi: 10.1136/bmjqs-2021-013314. Epub 2021 Apr 23.
9
Exploring the hospital patient journey: What does the patient experience?探索医院患者就医旅程:患者的体验如何?
PLoS One. 2019 Dec 5;14(12):e0224899. doi: 10.1371/journal.pone.0224899. eCollection 2019.
10
BSN Admission Group Interviews: Perceptions of Students, Faculty, and Community Nurses.护理学学士入学小组访谈:学生、教师及社区护士的看法
Nurs Educ Perspect. 2015 Jan/Feb;36(1):58-59. doi: 10.5480/11-666.1.