卫生专业教育中的精准医学:利用展望和战略技术(FaST)审查确定急诊医学研究议程

IF 1.7 Q2 EDUCATION, SCIENTIFIC DISCIPLINES
Teresa M. Chan she/her MD, MHPE, MBA, Brent Thoma MD, MA, MSc, John T. Finnell MD, MSc, Bradley D. Gordon MD, MS, Susan Farrell MD, Martin Pusic MD, PhD, Daniel Cabrera MD, Michael A. Gisondi MD, Holly A. Caretta-Weyer MD, MHPE, Christopher Stave MLS, Felix Ankel MD
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引用次数: 0

摘要

背景 精准医学(有时也称为个性化医学)正在迅速改变人们在不久的将来参与医疗保健的方式。随着支持精准医学的技术飞速发展,我们迫切需要积极主动地提高对精准医学的理解,并提出与将其纳入未来急诊医生教育和培训相关的重要研究问题(RQs)。 方法 采用七步流程制定研究议程,探索精准医学与急诊医学教育/培训的交叉点。首先对有关精准医学的文章进行了文献检索,并据此创建了未来的四种情景,在这些情景中,受训者和执业医师定期讨论精准医学工具,并将其纳入他们的讨论和工作中。在这些未来派叙述的基础上,专家小组提出了潜在的教育 RQs。随后,通过名义小组投票法对总共 59 个初始问题进行了分类,并将其细化为一个优先列表。在德克萨斯州奥斯汀举行的 2023 年 SAEM 精准医学共识会议上,提出了首要/优先问题,以进一步征求意见。 结果 提出了八个高价值教育 RQ,反映了精准医学教育在急诊医学相关知识、技能和态度方面所面临的挑战和机遇。这些问题涉及的主题包括:最有效的教学方法;预期结果和行为;执业急诊医师、教育者和未来受训者之间的代际差异;以及患者的愿望和期望。 结论 急诊医学和急诊医师必须做好准备,了解精准医学,并将这些信息纳入他们思考、解决问题以及与患者和同事沟通的 "工具箱 "中。本文的重点是研究如何最好地教育未来的急诊医生使用个性化数据提供最佳医疗服务。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Precision medicine within health professions education: Defining a research agenda for emergency medicine using a foresight and strategy technique (FaST) review

Background

Precision medicine, sometimes referred to as personalized medicine, is rapidly changing the possibilities for how people will engage health care in the near future. As technology to support precision medicine exponentially develops, there is an urgent need to proactively improve our understanding of precision medicine and pose important research questions (RQs) related to its inclusion in the education and training of future emergency physicians.

Methods

A seven-step process was employed to develop a research agenda exploring the intersection of precision and emergency medicine education/training. A literature search of articles about precision medicine was conducted first, which informed the creation of future four scenarios in which trainees and practicing physicians regularly discuss and incorporate precision medicine tools into their discussions and work. Based on these futurist narratives, potential education RQs were generated by an expert panel. A total of 59 initial questions were subsequently categorized and refined to a priority list through a nominal group voting method. The top/priority questions were presented at the 2023 SAEM Consensus Conference on Precision Medicine, Austin, Texas, for further input.

Results

Eight high-value education RQs were developed, reflecting a holistic view of the challenges and opportunities for precision medicine education in the knowledge, skills, and attitudes relevant to emergency medicine. These questions contend with topics such as most effective pedagogical methods; intended resulting outcomes and behaviors; the generational differences between practicing emergency physicians, educators, and future trainees; and the desires and expectations of patients.

Conclusions

Emergency medicine and emergency physicians must be prepared to understand precision medicine and incorporate this information into their “toolbox” of thinking, problem solving, and communication with patients and colleagues. This research agenda on how best to educate future emergency physicians in the use of personalized data to provide optimal health care is the focus of this article.

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来源期刊
AEM Education and Training
AEM Education and Training Nursing-Emergency Nursing
CiteScore
2.60
自引率
22.20%
发文量
89
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