Core competencies in hospital medicine: Development and methodology
Core competencies in hospital medicine: Development and methodology
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DOI：
10.1002/jhm.6
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发表时间：
2006-01-01
影响因子：
2.6
通讯作者：
Amin, Alpesh N.
中科院分区：
文献类型：
--
作者：
Dressier, Daniel D.;Pistoria, Michael J.;Amin, Alpesh N.
背景：住院护理的住院者模式在过去十年中迅速扩大，与护理提供的质量和效率相关的显著增长。这种增长和发展刺激了更好地定义和描述医院医学领域的需要。培训和开发专门针对医院医学的课程是该领域发展的下一步。方法：医院医学学会的《医院医学的核心能力：课程开发框架(核心能力)》介绍了医院医生的期望，并提供了一个初步的结构框架，以指导医学教育工作者制定课程，将这些能力纳入对学生、临床培训医生和实习医院医生的培训和评估。本文概述了发展核心能力的过程，其中包括成立特别工作组和编委会，开发主题列表，征集和撰写章节，以及由编委会和内部和外部审核者执行多项审查。结果：这一过程最终形成了核心能力文件，该文件分为三个部分：临床条件、程序和医疗系统。每一节中的章节描述了有效住院实践所必需的核心知识、技能和态度，同时也结合了系统组织和改进方法来协调和优化护理。结论：这些能力应该是创建医院医学课程的共同参考和基础，并有助于标准化和改进住院患者培训实践。
BACKGROUND: The hospitalist model of inpatient care has been rapidly expanding over the last decade, with significant growth related to the quality and efficiency of care provision. This growth and development have stimulated a need to better define and characterize the field of hospital medicine. Training and developing curricula specific to hospital medicine are the next step in the evolution of the field.METHODS: The Core Competencies in Hospital Medicine: A Framework for Curriculum Development (the Core Competencies), by the Society of Hospital Medicine, introduces the expectations of hospitalists and provides an initial structural framework to guide medical educators in developing curricula that incorporate these competencies into the training and evaluation of students, clinicians-in-training, and practicing hospitalists. This article outlines the process that was undertaken to develop the Core Competencies, which included formation of a task force and editorial board, development of a topic list, the solicitation for and writing of chapters, and the execution of multiple reviews by the editorial board and both internal and external reviewers.RESULTS: This process culminated in the Core Competencies document, which is divided into three sections: Clinical Conditions, Procedures, and Healthcare Systems. The chapters in each section delineate the core knowledge, skills, and attitudes necessary for effective inpatient practice while also incorporating a systems organization and improvement approach to care coordination and optimization.CONCLUSIONS: These competencies should be a common reference and foundation for the creation of hospital medicine curricula and serve to standardize and improve inpatient training practices.