医疗院舍临床环境评估：通过ACA-UNAM-MEX调查进行分析

Q2 Social Sciences

Educacion Medica Pub Date : 2024-12-27 DOI:10.1016/j.edumed.2024.101004

Gabriela Yanet Cortés-Moreno , Ilicia González-Mundo , Rosa Paola Figuerola-Escoto , Sofía Lavaniegos-Appendini , Roberto Arturo Vázquez-Dávila , Jorge Alberto Robles-Aviña , Rodolfo Lehmann-Mendoza

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引用次数: 0

摘要

医院环境是医学专家教育的支柱，提供临床学习环境（ACA）对住院医师的医学培训至关重要。评估这些环境对于确保优秀的医疗培训至关重要。方法采用ACA-UNAM-MEX对来自Petróleos墨西哥8家医院的690名居民进行观察性研究。评估四个维度：人际关系（RI）、教育过程（PE）、机构文化（CI）和服务动态（DS）。进行描述性分析，并检查性别、医院类型、专科类型和年龄组对总体ACA评分和每个维度的影响。结果获得了与教授（M = 88.34）和兼职教授（M = 88.39）互动的ACA总分。女性在RI和PE方面得分较低。外科专业的RI得分明显较高，40 ~ 49 岁年龄组CI和PE维度存在显著差异。结论住院医师ACA的评估突出了分析医院环境的重要性。女性在RI和PE得分较低，外科专业的人际关系较好，年龄对机构文化有显著影响。利用这些仪器加强住院医师的医疗培训是必不可少的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Evaluación de ambientes clínicos en las residencias médicas: un análisis a través de la encuesta ACA-UNAM-MEX

Introduction

Hospital environments are mainstays in education of medical specialists, providing Clinical Learning Environments (ACA) that are essential for resident's medical training. Evaluating these environments is crucial to ensure excellent medical training.

Methods

An observational study was conducted applying ACA-UNAM-MEX to 690 residents from 8 Petróleos Mexicanos hospitals. Four dimensions were evaluated: Interpersonal Relationships (RI), Educational Processes (PE), Institutional Culture (CI), and Service Dynamics (DS). A descriptive analysis was performed, and the impact of gender, type of hospital, type of specialty, and age group on the overall ACA score and each dimension was examined.

Results

The overall ACA score from interactions with professors (M = 88.34) and adjunct professors (M = 88.39) were obtained. Female gender had lower scores in RI and PE. Surgical specialties had significantly higher scores in RI, and the age group 40 to 49 years showed significant differences in CI and PE dimensions.

Conclusion

The evaluation of ACA in medical residencies highlights the importance of analyzing hospital environments. Female gender had lower scores in RI and PE, surgical specialties had better interpersonal relationships, and age had a significant impact on institutional culture. It is essential to use these instruments to enhance resident's medical training.

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来源期刊

Educacion Medica Social Sciences-Education

CiteScore

2.60

自引率

0.00%

发文量

审稿时长

63 days

期刊介绍： Educación Médica, revista trimestral que se viene publicando desde 1998 es editada desde enero de 2003 por la Fundación Educación Médica. Pretende contribuir a la difusión de los estudios y trabajos que en este campo se están llevando a cabo en todo el mundo, pero de una manera especial en nuestro entorno. Los artículos de Educación Médica tratarán tanto sobre aspectos prácticos de la docencia en su día a día como sobre cuestiones más teóricas de la educación médica. Así mismo, la revista intentará proporcionar análisis y opiniones de expertos de reconocido prestigio internacional.