Assessing Team Leadership in Emergency Medicine: The Milestones and Beyond.
Assessing Team Leadership in Emergency Medicine: The Milestones and Beyond.
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DOI：
10.4300/jgme-d-15-00400.1
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发表时间：
2016-07-01
影响因子：
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通讯作者：
Fernandez, Rosemarie
中科院分区：
文献类型：
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作者：
Rosenman, Elizabeth D;Branzetti, Jeremy B;Fernandez, Rosemarie
背景：团队领导能力是急诊医师的一项关键技能，直接影响团队绩效和患者护理质量。有大量的团队科学研究支持团队领导的概念模型和行为技能集。然而，到目前为止，这项工作尚未广泛纳入卫生保健团队领导教育。目的：本文的叙述性综述有三个目的：(1)综合团队科学文献，将重要的概念和模型转化为卫生保健团队领导；(2)描述团队领导力目前如何在医疗文献和急诊医学研究生医学教育里程碑认证委员会中得到体现；(3)提出一种新的基于证据的急诊医学团队领导能力评估框架。方法：我们对团队科学和卫生保健文献进行了叙述性回顾。我们总结了我们的发现，并确定了一个团队领导行为的列表，然后用于创建团队领导评估的框架。结果：目前的医疗团队领导力测量工具没有纳入其他已建立领域的领导力概念的循证模型。急诊医学里程碑包括几个团队领导行为，作为更大的住院医师评估计划的一部分。然而，他们并没有提供一个全面的或有凝聚力的团队领导结构的代表。结论：尽管团队领导力对患者护理很重要，但急诊医学团队领导力评估尚无标准化的方法。基于我们的研究结果，我们提出了一个新的团队领导力评估框架，该框架得到了团队科学文献的支持。
BACKGROUND: Team leadership is a critical skill for emergency medicine physicians that directly affects team performance and the quality of patient care. There exists a robust body of team science research supporting team leadership conceptual models and behavioral skill sets. However, to date, this work has not been widely incorporated into health care team leadership education.OBJECTIVE: This narrative review has 3 aims: (1) to synthesize the team science literature and to translate important concepts and models to health care team leadership; (2) to describe how team leadership is currently represented in the health care literature and in the Accreditation Council for Graduate Medical Education Milestones for emergency medicine; and (3) to propose a novel, evidence-based framework for the assessment of team leadership in emergency medicine.METHODS: We conducted a narrative review of the team science and health care literature. We summarized our findings and identified a list of team leadership behaviors that were then used to create a framework for team leadership assessment.RESULTS: Current health care team leadership measurement tools do not incorporate evidence-based models of leadership concepts from other established domains. The emergency medicine milestones include several team leadership behaviors as part of a larger resident evaluation program. However, they do not offer a comprehensive or cohesive representation of the team leadership construct.CONCLUSIONS: Despite the importance of team leadership to patient care, there is no standardized approach to team leadership assessment in emergency medicine. Based on the results of our review, we propose a novel team leadership assessment framework that is supported by the team science literature.