ELECTRONIC HEALTH RECORD;
4TH YEAR;
STUDENTS PERSPECTIVES;
FORMER PATIENTS;
TELEMEDICINE;
SCHOOL;
MODEL;
MANAGEMENT;
CURRICULUM;
CLERKSHIP;
D O I:
10.1097/ACM.0000000000002177
中图分类号:
G40 [教育学];
学科分类号:
040101 ;
120403 ;
摘要:
As the burdens of chronic disease rise in the United States, both undergraduate and graduate medical education must adapt to adequately equip future physicians with the skills to manage the increasingly complex health needs affecting the population. However, traditional models of undergraduate medical education (UME) have made focusing on chronic care education challenging. In this Invited Commentary, the authors advocate for strengthening UME based on five approaches to engage trainees in learning about chronic care across both the preclinical and clinical phases of their education: (1) introducing chronic care in the preclinical years; (2) prioritizing chronic care education across all specialties; (3) maximizing the fourth year of medical school through a chronic care focus; (4) creating chronic-disease-focused advanced clerkships; and (5) leveraging technology for education. These five approaches call for restructuring of both preclinical and clinical education to more comprehensively emphasize the skills and knowledge needed for trainees to manage chronic diseases. Such efforts will ensure that graduating medical students are well versed in the competencies needed to effectively care for patients with chronic conditions in advance of their transition to graduate medical education and clinical practice.
机构:
Newcastle Univ, Sch Med Educ, Med Sch, Newcastle Upon Tyne NE2 4HH, Tyne & Wear, England
Ponteland Med Grp, Northumbria Primary Care, Newcastle Upon Tyne, Tyne & Wear, EnglandNewcastle Univ, Sch Med Educ, Med Sch, Newcastle Upon Tyne NE2 4HH, Tyne & Wear, England
机构:
Univ Washington, Harborview Med Ctr, Dept Rehabil Med, Seattle, WA 98104 USAUniv Washington, Harborview Med Ctr, Dept Rehabil Med, Seattle, WA 98104 USA
Esselman, Peter
Berbrayer, David
论文数: 0引用数: 0
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机构:
Univ Toronto, Dept Med, Div Physiatry Phys Med & Rehabil, Toronto, ON, CanadaUniv Washington, Harborview Med Ctr, Dept Rehabil Med, Seattle, WA 98104 USA
Berbrayer, David
Friedly, Janna
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h-index: 0
机构:Univ Washington, Harborview Med Ctr, Dept Rehabil Med, Seattle, WA 98104 USA
Friedly, Janna
Granger, Carl
论文数: 0引用数: 0
h-index: 0
机构:
SUNY Buffalo, Dept Rehabil Med, Buffalo, NY 14260 USAUniv Washington, Harborview Med Ctr, Dept Rehabil Med, Seattle, WA 98104 USA
Granger, Carl
Mayer, R. Sam
论文数: 0引用数: 0
h-index: 0
机构:
Johns Hopkins Univ, Dept Phys Med & Rehabil, Baltimore, MD USAUniv Washington, Harborview Med Ctr, Dept Rehabil Med, Seattle, WA 98104 USA