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监察员在毕业后医学教育中的作用:促进健康与心理安全。

The Role of Ombuds in Graduate Medical Education: Fostering Wellness and Psychological Safety.

作者信息

Danielsson Jennifer, Chen Stephanie A, Batista Naralys, Jensen Caroline H, Mulaikal Teresa A

机构信息

Jennifer Danielsson is an Assistant Professor of Anesthesiology, Ombuds, Division of Regional Anesthesiology, Stephanie A. Chen is a Pediatric Anesthesiology Fellow, Naralys Batista is a Cardiothoracic Anesthesiology Fellow, and Teresa A. Mulaikal is an Associate Professor of Anesthesiology and Residency Program Director, Division of Cardiothoracic and Critical Care, in the Department of Anesthesiology, Columbia University Irving Medical Center, New York, NY. Caroline H. Jensen is a Critical Care Fellow in the Department of Anesthesiology, Critical Care, and Pain Medicine at Massachusetts General Hospital, Harvard, Boston, MA.

出版信息

J Educ Perioper Med. 2025 Jan 9;26(4):E733. doi: 10.46374/VolXXVI_Issue4_Mulaikal. eCollection 2024 Oct-Dec.

Abstract

The authors propose an educational innovation in graduate medical education, the creation of an Education Ombudsperson. Although this role has been implemented for faculty and students within the medical field, it has not been described in residency programs. The Ombudsperson for house staff is distinct from institutional or programmatic leadership. His or her primary role within a department is to foster psychological safety, wellness, advocacy, and professionalism in residency or fellowship programs. This manuscript describes the process for selection, visitor consultation, escalation pathways, and examples of concerns addressed proactively. The Ombudsperson can complement the role of the Program Director, Chair, and Designated Institutional Official in a collaborative model that addresses challenges in the learning environment.

摘要

作者们提出了一项研究生医学教育中的教育创新举措,即设立一名教育监察员。尽管这一角色已在医学领域内针对教师和学生实施,但在住院医师培训项目中尚未有过描述。住院医师的监察员与机构或项目领导不同。其在部门内的主要职责是在住院医师培训或专科 fellowship 项目中促进心理安全、健康、维权及专业精神。本文描述了选拔过程、访客咨询、问题上报途径以及主动解决的问题示例。监察员可以在应对学习环境挑战的协作模式中补充项目主任、主席和指定机构官员的角色。

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