通过跨专业床边查房模式创建最佳临床学习环境:从 iPACE 的故事中汲取经验。

IF 5.3 2区 教育学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES
Sarah Hallen, Melissa I Zelaya, Patti White, Kalli Varaklis
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引用次数: 0

摘要

摘要:缅因州医学中心于2016年开发并实施了 "推进护理和教育的跨专业合作(iPACE)"模式,作为毕业后医学教育认证委员会 "追求卓越临床学习环境(CLE)"示范项目的一部分。该模式基于以下信念:在最佳的 CLE 中,住院医师接受以团队为基础的跨专业协作护理培训,并利用临床护理经验在患者安全和护理质量方面进行创新。在美国医学协会 "重新想象住院医师培训 "资助项目以及缅因州保健医疗系统医学教育和临床领导层的支持下,iPACE 模式得到了进一步发展和推广。iPACE 最初是在一个住院病房开展的小型试点项目,现已发展成为住院团队床旁查房的标准。iPACE 得到了患者的积极反馈,证明了其对护理团队成员和住院医师教育的益处,并通过持续缩短住院时间和降低护理成本指标证明了其对医疗系统的价值。iPACE 项目实现了 MMC 最初的目标,即有意重新设计其 CLE,让住院医师接触功能强大的跨专业团队,以改善患者护理和安全。该模式通过增加教师的观察和提高反馈质量,使学员直接受益。iPACE 等跨专业床旁查房模式有可能使学习者掌握提供以患者为中心的协作式护理所必需的技能和行为。有一些策略可以提高住院医师和教师在 iPACE 等床边查房模式中的参与度,应加以采用,以鼓励床边教学和学习。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Creating Optimal Clinical Learning Environments Through Interprofessional Bedside Rounding Models: Lessons From the iPACE Story.

Abstract: The Interprofessional Partnership to Advance Care and Education (iPACE) model was developed and implemented at Maine Medical Center in 2016 as part of the Accreditation Council for Graduate Medical Education's Pursuing Excellence in Clinical Learning Environments (CLE) demonstration project. The model is based on the belief that, in optimal CLEs, residents are trained in team-based, interprofessional collaborative care and use clinical care experiences to innovate in the areas of patient safety and quality of care. The model's inclusion of systems engineering principles, such as design thinking, allows teams to design, customize, and iteratively improve their own iPACE model.The iPACE model was further developed and disseminated with support from an American Medical Association Reimagining Residency grant and from the MaineHealth health system's medical education and clinical leadership. iPACE started as a small pilot project on a single inpatient unit and has evolved to become the standard for inpatient team rounds at the bedside. iPACE has received positive feedback from patients, demonstrated benefits to care team members and resident education, and proven its value to the health system through sustained reductions in length of stay and cost of care metrics. The iPACE project has fulfilled MMC's original goal of intentionally redesigning its CLEs to expose residents to high-functioning interprofessional teams with the goal of improving patient care and safety. The model has shown direct learner benefits through increased faculty observation and improved quality of feedback. Interprofessional bedside rounding models like iPACE have the potential to imprint learners with the skills and behaviors essential to provide collaborative patient-centered care. Strategies exist that improve resident and faculty engagement in bedside rounding models like iPACE and should be employed to encourage teaching and learning at the bedside.

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来源期刊
Academic Medicine
Academic Medicine 医学-卫生保健
CiteScore
7.80
自引率
9.50%
发文量
982
审稿时长
3-6 weeks
期刊介绍: Academic Medicine, the official peer-reviewed journal of the Association of American Medical Colleges, acts as an international forum for exchanging ideas, information, and strategies to address the significant challenges in academic medicine. The journal covers areas such as research, education, clinical care, community collaboration, and leadership, with a commitment to serving the public interest.
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