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将多重疾病教育纳入本科医学课程:一项系统综述。

Integrating multimorbidity education into undergraduate medical curriculum: A systematic review.

作者信息

Cuschieri Andrea, Ryan Bridget L, Cuschieri Sarah

机构信息

Faculty of Medicine and Surgery, University of Malta, Msida MSD2090, Malta, Europe.

Department of Epidemiology and Biostatistics, Schulich School of Medicine & Dentistry, Western University, London, Canada.

出版信息

Future Healthc J. 2025 Apr 30;12(2):100252. doi: 10.1016/j.fhj.2025.100252. eCollection 2025 Jun.

Abstract

Multimorbidity is becoming highly prevalent across the globe. Current medical curricula predominantly focus on single-disease management, leaving future physicians underprepared to provide patient-centred care to address the multimorbidity epidemic. Through a systematic review, this short communication identified the current state of multimorbidity education in medical curricula and evaluated existing educational approaches. A narrative systematic review (CRD42024585500) of studies meeting stringent inclusion criteria focusing on multimorbidity education was conducted. The review found limited evidence regarding the integration and effectiveness of current educational approaches. Although multimorbidity education was associated with improved self-reported student confidence, there was a notable absence of structured, formal teaching frameworks, with education primarily occurring through informal clinical exposure. This systematic review discovered the absence of an evidence base on structured, validated teaching methods that are urgently needed to better prepare future physicians to manage patients with multimorbidity effectively.

摘要

多重疾病在全球范围内正变得极为普遍。当前的医学课程主要侧重于单一疾病的管理,使得未来的医生在为应对多重疾病流行提供以患者为中心的护理方面准备不足。通过一项系统综述,本简短通讯确定了医学课程中多重疾病教育的现状,并评估了现有的教育方法。对符合严格纳入标准的关于多重疾病教育的研究进行了叙述性系统综述(CRD42024585500)。该综述发现,关于当前教育方法的整合与有效性的证据有限。尽管多重疾病教育与学生自我报告的信心提升有关,但明显缺乏结构化的正式教学框架,教育主要通过非正式的临床接触进行。这项系统综述发现缺乏关于结构化、经过验证的教学方法的证据基础,而这对于更好地让未来医生有效管理患有多重疾病的患者来说是迫切需要的。

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