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[加拿大安大略省多伦多市病童医院医学教育部门休假期间的见闻]

[IMPRESSIONS OF SABBATICAL TIME AT THE MEDICAL EDUCATION DEPARTMENT AT THE HOSPITAL FOR SICK CHILDREN, TORONTO, CANADA].

作者信息

Uziel Yosef

机构信息

Pediatric Rheumatology Unit, Department of Pediatrics, Meir Medical Center, Kfar Saba, School of Medicine, Tel Aviv University, Israel.

出版信息

Harefuah. 2025 Jun;164(6):392-394.

PMID:40530639
Abstract

The vision of the Department of Pediatrics at the University of Toronto and The Hospital for Sick Children in Toronto, Canada, defines medical education as highly important and the strategic plans and policies of the hospital management for training residents in pediatrics have been adjusted accordingly. A section of Medical Education has been established, which is headed by a physician who is appointed as a Vice-Chair of the department. In this department there are several staff members including physicians and trained administrative staff who are all devoted to the medical education affairs. In each clinical division, there is a program director position dedicated to medical education. Furthermore, every resident is guided by a (faculty) senior mentor throughout the entire residency. In addition, a specific residency program committee plans the curriculum and all residents are routinely assessed, and provided with feedback on a regular basis. All staff physician teachers are provided with faculty development training in education and receive feedback regularly and excellence in teaching is considered a major factor in academic promotion. Ethical issues, equity, diversity and inclusion, as well as professionalism in interactions with residents are receiving special attention. The pediatric residency consists of 13 rounds of 4 weeks each in the second year of residency, which includes all subspecialties in pediatrics. The optimal way of considering the residency or fellowship is "working while learning". This contrasts with "learning while working" in other places which lack the resources to support such an impressive medical education program.

摘要

加拿大多伦多大学儿科学系以及多伦多病童医院的愿景将医学教育定义为极其重要的,医院管理层针对儿科住院医师培训的战略计划和政策也相应进行了调整。已设立医学教育部门,由一位被任命为该系副主任的医生领导。该部门有几名工作人员,包括医生和经过培训的行政人员,他们都致力于医学教育事务。在每个临床科室,都有一个专门负责医学教育的项目主任职位。此外,每位住院医师在整个住院医师培训期间都有一位(教员)高级导师指导。此外,一个特定的住院医师培训项目委员会规划课程,所有住院医师都要接受定期评估,并定期获得反馈。所有担任教师的医师都接受教育方面的师资发展培训,并定期获得反馈,教学出色被视为学术晋升的一个主要因素。伦理问题、公平、多样性与包容性,以及与住院医师互动中的职业素养都受到特别关注。儿科住院医师培训在住院医师第二年包括13轮,每轮4周,涵盖儿科所有亚专业。考虑住院医师培训或专科培训的最佳方式是“边工作边学习”。这与其他地方“边工作边学习”形成对比,那些地方缺乏资源来支持如此令人印象深刻的医学教育项目。

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