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ATS scholar. 2025 Jun 6. doi: 10.34197/ats-scholar.2024-0134OC Q31.92025

"Modeling the Behaviors and the Interactions That We Value": Critical Care Attending Physician Perspectives on Interprofessional Teaching in Graduate Medical Education

“ Modeling有价值的的行为和互动”:重症监护主治医师对毕业后医学教育中跨专业教学的视角 翻译改进

Asha M Anandaiah  1  2, Camille R Petri  1  2, Christine P Beltran  3, Amy M Sullivan  4

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作者单位

  • 1 Division of Pulmonary, Critical Care, and Sleep Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
  • 2 Harvard Medical School, Boston, Massachusetts.
  • 3 New York University Grossman School of Medicine, New York, New York; and.
  • 4 Shapiro Institute for Education and Research, Harvard Medical School and Beth Israel Deaconess Medical Center, Boston, Massachusetts.
  • DOI: 10.34197/ats-scholar.2024-0134OC PMID: 40479547

    摘要 中英对照阅读

    Background: Interprofessional teaching (IPT) has the potential to promote teamwork and collaborative patient care, but few studies have explored physician attitudes about the role of nonphysician clinical teachers in graduate medical education. Objective: This study aimed to elucidate critical care attending physician perspectives about the role of nurses, pharmacists, and respiratory therapists in teaching medical residents. Methods: Using a concurrent mixed methods approach, surveys and focus groups were administered to attendings in an urban tertiary academic medical center. Survey data were analyzed with descriptive statistics; focus group data were analyzed using the Framework method of content analysis. Results: Of attendings surveyed, 23/26 (88%) responded. Attendings reported positive attitudes about IPT; highly cited benefits included capitalizing on the unique expertise held by interprofessional providers (21/22, 95%), modeling respectful interprofessional relationships (21/22, 95%), and promoting collaborative patient care (20/22, 91%). Ten attendings participated in focus groups. Qualitative analysis revealed four major themes: overall low rates of IPT that vary by profession, potential role of attending as facilitator of IPT, multiple interpersonal and environmental characteristics that influence IPT, and impacts of IPT on education, patient care, and teamwork. Conclusion: Study results suggest that attending physicians are enthusiastic about the concept of IPT and their potential role in its promotion.

    Keywords: critical care; graduate medical education; interprofessional education; patient care team.

    Keywords:critical care; physician perspectives; interprofessional teaching; graduate medical education

    背景: 跨专业教学(IPT)有潜力促进团队合作和协作的患者护理,但很少有研究探讨医生对非医师临床教师在研究生医学教育中角色的态度。目的: 本研究旨在阐明重症监护主治医生关于护士、药剂师和呼吸治疗师在教授住院医师方面的观点。方法: 使用混合方法并行研究,在城市三级学术医疗中心的主治医生中进行调查问卷和焦点小组。调查数据使用描述性统计分析;焦点小组数据使用框架内容分析法进行分析。结果: 参与调查的26名主治医生中有23人(88%)进行了回复。主治医生对IPT持积极态度,高度引用的好处包括利用跨专业提供者独特的专业知识(21/22, 95%)、展示尊重的跨专业关系模式(21/22, 95%),以及促进协作患者护理(20/22, 91%)。有十名主治医生参加了焦点小组。定性分析揭示了四个主要主题:不同专业的IPT总体低频,主治医生作为IPT促进者的潜在角色,影响IPT的多个人际和环境特征,以及IPT对教育、患者护理和团队合作的影响。结论: 研究结果表明,主治医生对于IPT的概念及其在推动这一过程中的潜力持乐观态度。

    关键词: 重症监护;研究生医学教育;跨专业教学;患者护理团队。

    关键词:重症监护; 医师视角; 跨专业教学; 毕业后医学教育

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    e-ISSN:2690-7097

    IF/分区:1.9/Q3

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