Educating medical students in the era of ubiquitous information.
Educating medical students in the era of ubiquitous information.
复制标题
DOI：
10.3109/0142159x.2016.1150990
复制
发表时间：
2016-05
期刊：
影响因子：
4.7
通讯作者：
Vantsevich AV
中科院分区：
文献类型：
--
作者：
Friedman CP;Donaldson KM;Vantsevich AV
世界各地的医疗保健正在走向数字化。这一不可阻挡的趋势将导致：(1)数字化形式的常规护理记录和新兴的国家基础设施，用于共享数据，从而实现学习型卫生系统的进展；(2)生物医学“知识云”，完全集成到实践环境中，医疗保健提供者和消费者都可以访问。与此同时，医科学生将是完全的数字原住民，他们实际上是与互联网一起长大的，并将在下一个十年的早期进入实践，届时实践中的预期变化将趋于成熟。这篇文章描述了与这个不断变化的信息环境相关的三种能力——(1)知道你知道什么和不知道什么，(2)提出好问题的能力，(3)评估和权衡证据的技能——并提出了促进学生掌握每种能力的教育方法。将医学教育转变为解决这些能力问题将对许多现有方法提出质疑，但这可能是使受训者为未来的最佳实践做好充分准备的必要条件。
Health care around the world is going digital. This inexorable trend will result in: (1) routine documentation of care in digital form and emerging national infrastructures for sharing data that allow progress toward a learning health system; and (2) a biomedical “knowledge cloud” that is fully integrated into practice environments and accessible to both providers and consumers of healthcare. Concurrently, medical students will be complete digital natives who have literally grown up with the Internet and will enter practice early in the next decade when the projected changes in practice approach maturity. This essay describes three competencies linked to this evolving information environment—(1) knowing what you do and don’t know, (2) ability to ask a good question, and (3) skills in evaluating and weighing evidence—and suggests educational approaches to promote student mastery of each competency. Shifting medical education to address these competencies will call into question many current methods but may be essential to fully prepare trainees for optimal practice in the future.