A call to action: next steps to advance diagnosis education in the health professions

A call to action: next steps to advance diagnosis education in the health professions
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DOI:
10.1515/dx-2021-0103
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发表时间:
2021-12-08
期刊:
影响因子:
3.5
通讯作者:
Olson, Andrew P. J.
Olson, Andrew P. J.
中科院分区:
其他
文献类型:
--
作者:
Graber, Mark L.;Holmboe, Eric;Olson, Andrew P. J.

文献摘要

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目的:提高卫生专业诊断相关教育水平,对提高实际诊断质量和安全性具有重要意义。通过先前的一项倡议,已经划定了12项关键的诊断能力。该项目的目标是确定今后必要的步骤,以便将这些措施广泛纳入整个卫生专业的教育和培训。方法:以医学、护理学、药学为例。进行了文献综述,以调查诊断教育在这些领域的状态,并召开了一个共识小组,以指定下一步,使用正式的方法来排名建议。结果:文献回顾证实了在解决诊断相关教育方面的初步进展,但进展不足。通过共识,我们确定了推进诊断教育的下一步必要步骤,以及与每个专业相关的五个必要要素:1)开发一种共享的、通用的诊断语言,2)开发必要的内容,3)开发评估工具,4)促进教师发展,5)传播提高诊断教育必要性的意识。结论:代表每个专业的教育、认证、认可和许可的主要利益相关者现在必须在自己的领域采取行动,鼓励、促进和实现改进的诊断,并推进这些建议。
Objectives: Improving diagnosis-related education in the health professions has great potential to improve the quality and safety of diagnosis in practice. Twelve key diagnostic competencies have been delineated through a previous initiative. The objective of this project was to identify the next steps necessary for these to be incorporated broadly in education and training across the health professions.Methods: We focused on medicine, nursing, and pharmacy as examples. A literature review was conducted to survey the state of diagnosis education in these fields, and a consensus group was convened to specify next steps, using formal approaches to rank suggestions.Results: The literature review confirmed initial but insufficient progress towards addressing diagnosis-related education. By consensus, we identified the next steps necessary to advance diagnosis education, and five required elements relevant to every profession: 1) Developing a shared, common language for diagnosis, 2) developing the necessary content, 3) developing assessment tools, 4) promoting faculty development, and 5) spreading awareness of the need to improve education in regard to diagnosis.Conclusions: The primary stakeholders, representing education, certification, accreditation, and licensure, in each profession must now take action in their own areas to encourage, promote, and enable improved diagnosis, and move these recommendations forward.