A curriculum in health systems and public health for internal medicine residents.
A curriculum in health systems and public health for internal medicine residents.
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内科住院医师的卫生系统和公共卫生课程。
DOI：
10.1016/j.amepre.2011.05.025
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发表时间：
2011
影响因子：
5.5
通讯作者：
Hamm,MariaE
中科院分区：
文献类型：
--
作者：
Fiebach,NicholasH;Rao,Deepa;Hamm,MariaE
背景医学教育工作者和认证组织认识到，未来的医疗专业人员将取决于对包括人口和公共卫生在内的更大范围和更大的医疗保健系统的实用知识。卫生系统和公共卫生方面的医学教育几乎没有出版的指导意见，尤其是研究生医学教育。本研究描述了在内科住院医师培训计划中成功实施的卫生系统和公共卫生课程的评估。设计试点计划包括为期一周的老年住院医师教学课程，包括10个半天的研讨会。试点课程于2007年9月和11月实施了两个周期。SETTING/PARTICIPANT参与者是一家大型城市学术医学中心内科培训项目的三年级住院医师。干预：为期一周的课程在2008-2010学年全面实施并进行评估。主要内容包括卫生政策与经济、医疗保险、技术与成本评估、法律医学、公共卫生、以社区为导向的初级保健和地方卫生部门倡议等研讨会。主要结果衡量标准居民评价研讨会的质量和影响以及整体课程，回顾评估他们在研讨会前后提出的主题的知识，并对对他们最有价值的研讨会进行评级。结果参加研讨会的居民对研讨会的质量和影响进行了高度评价，他们认为课程在他们的临床活动和专业发展中是有价值的。结论所学到的教训包括获取住院医师计划之外的资源的重要性，以及使卫生系统和公共卫生的学习积极并与临床实践相关的挑战。
BACKGROUNDMedical educators and accreditation organizations recognize that healthcare professionals in the future will depend on working knowledge of the larger contexts and systems of health care, including population and public health. Little published guidance on medical education in health systems and public health exists, particularly for graduate medical education.PURPOSEThis study describes the evaluation of a curriculum in health systems and public health which was successfully implemented in an internal medicine residency training program.DESIGNA pilot program consisting of a week-long didactic curriculum for senior residents, including ten half-day seminars. Two cycles of the pilot curriculum were implemented in September and November, 2007.SETTING/PARTICIPANTSThe participants were third-year residents in an internal medicine training program at a large, urban academic medical center.INTERVENTIONThe 1-week curriculum was fully implemented and evaluated in the academic years 2008–2010. It included seminars on health policy and economics, health insurance, technology and cost assessment, legal medicine, public health, community-oriented primary care, and local health department initiatives.MAIN OUTCOME MEASURESResidents evaluated the quality and impact of the seminars and overall curriculum, retrospectively assessed their knowledge of topics presented before and after the seminars, and rated the seminars that were most valuable to them.RESULTSThe seminars were highly rated by the participating residents, and the curriculum was judged by them to be valuable in their clinical activities and professional development.CONCLUSIONSKey lessons learned included the importance of accessing resources external to the residency program and the challenge of making learning in health systems and public health active and relevant to clinical practice.
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DOI：
--
发表时间：
1967
期刊：
The Journal of Pathology and Bacteriology
影响因子：
--
作者：
J. Tighe;P. Garrod;R. Curran
通讯作者：
R. Curran
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影响因子：
64.5
作者：
J. Glenney;P. Glenney;M. Osborn;K. Weber
通讯作者：
K. Weber
DOI：
--
发表时间：
1985
期刊：
European Journal of Biochemistry
影响因子：
--
作者：
F. Regnouf;E. Nguyen;R. Cassoly;L. Pradel
通讯作者：
L. Pradel
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影响因子：
3.6
作者：
Y. W. Loke;S. Day
通讯作者：
S. Day
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DOI：
--
发表时间：
1972
期刊：
Biochimica et Biophysica Acta
影响因子：
--
作者：
H. Hamaguchi;Hartwig Cleve
通讯作者：
Hartwig Cleve