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Current Problems in Pediatric and Adolescent Health Care最新文献

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The role of competency based medical education in addressing health inequities and cultivating inclusive learning environments 以能力为基础的医学教育在解决健康不平等和培养包容性学习环境方面的作用。
IF 3 4区 医学 Q1 PEDIATRICS Pub Date : 2024-09-01 DOI: 10.1016/j.cppeds.2024.101641

Pediatric health inequities are pervasive and reflect the confluence of social and structural determinants of health including racism in all its forms. Current approaches in graduate medical education that prepare trainees to address health inequities and improve population health are inadequate. Competency based medical education (CBME) can advance equity-oriented efforts to improve patient outcomes, optimize the learning environment and encourage lifelong learning. We briefly describe the impact of racism and discrimination on the clinical learning environment. We then highlight how to apply the 5 core principles of CBME to equip learners across the continuum to address health inequities. We provide specific examples including 1) how CBME can inform teaching, assessment and professional development activities to promote equitable pediatric health outcomes via enturstable professional activities, 2) competency-focused instruction that address racism and inequities, 3) multimodal learning approaches to facilitate the acquisition of the desired competencies to address health inequities, 4) sequenced learning approaches across the continuum of practicing pediatricians, and 5) tools and resources for programmatic assessment of trainee and program performance in addressing pediatric health inequities.

儿科健康不公平现象普遍存在,反映了健康的社会和结构性决定因素(包括各种形式的种族主义)交织在一起。目前的医学研究生教育方法不足以让受训者做好应对健康不公平问题和改善人口健康的准备。以能力为基础的医学教育(CBME)可以推动以公平为导向的努力,以改善患者的治疗效果、优化学习环境并鼓励终身学习。我们简要介绍了种族主义和歧视对临床学习环境的影响。然后,我们重点介绍了如何应用 CBME 的 5 项核心原则,使学习者能够全面解决健康不平等问题。我们提供的具体例子包括:1)CBME 如何为教学、评估和专业发展活动提供信息,以通过可迸发的专业活动促进公平的儿科健康成果;2)以能力为重点的教学,解决种族主义和不公平问题;3)多模式学习方法,促进获得解决健康不公平问题所需的能力;4)跨执业儿科医生连续体的有序学习方法;5)在解决儿科健康不公平问题方面,对受训者和项目绩效进行项目评估的工具和资源。
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引用次数: 0
Foreword: Preparing future pediatricians and pediatric subspecialists: Competency-Based Medical Education–Part 1 前言:培养未来的儿科医生和儿科亚专科医生:基于能力的医学教育--第一部分。
IF 3 4区 医学 Q1 PEDIATRICS Pub Date : 2024-09-01 DOI: 10.1016/j.cppeds.2024.101639
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引用次数: 0
Competency-based medical education and the education continuum: Establishing a framework for lifelong learning 以能力为基础的医学教育和连续教育:建立终身学习框架。
IF 3 4区 医学 Q1 PEDIATRICS Pub Date : 2024-09-01 DOI: 10.1016/j.cppeds.2024.101642
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引用次数: 0
Editorial Board Page 编辑委员会页面
IF 3 4区 医学 Q1 PEDIATRICS Pub Date : 2024-09-01 DOI: 10.1016/S1538-5442(24)00133-0
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引用次数: 0
Competency based medical education and trust in the learning environment 基于能力的医学教育与学习环境中的信任。
IF 3 4区 医学 Q1 PEDIATRICS Pub Date : 2024-09-01 DOI: 10.1016/j.cppeds.2024.101640
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引用次数: 0
Competency based medical education – Where do I start? 基于能力的医学教育--从何入手?
IF 3 4区 医学 Q1 PEDIATRICS Pub Date : 2024-08-31 DOI: 10.1016/j.cppeds.2024.101674
Mary E. Moffatt MD , Rashaan Ford MD , Brenda Nuncio Lujano MS , Suzanne Reed MD, MAEd , Alvin Singh MD , David A. Stewart MD , David A. Turner MD
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引用次数: 0
Competency-based medical education (CBME) in graduate medical education: Perspectives from learners, faculty, and program leaders 医学研究生教育中的 CBME:学员、教师和项目负责人的观点。
IF 3 4区 医学 Q1 PEDIATRICS Pub Date : 2024-08-30 DOI: 10.1016/j.cppeds.2024.101677
Alexandria Card MD , Gabriel Daniels MD , Paul Bluth MD , Laura Chiel MD , Bruce Herman MD , Meghan O'Connor MD , Jill Plevinsky PhD , Debra Boyer MD, MHPE
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引用次数: 0
Competency-based medical education: Connecting training outcomes to patient care 基于能力的医学教育:将培训成果与病人护理联系起来。
IF 3 4区 医学 Q1 PEDIATRICS Pub Date : 2024-08-14 DOI: 10.1016/j.cppeds.2024.101675
Daniel J. Schumacher MD, PhD, Med , Katherine Gielissen MD, MHS , Benjamin Kinnear MD, Med

Competency-based medical education (CBME) is a patient-centered and learner-focused approach to education where curricula are delivered in a manner tailored to the individuals’ learning needs, and assessment focuses on ensuring trainees achieve requisite and clearly specified learning outcomes. Despite calls to focus assessment on what matters for patients. In this article, the authors explore one aspect of this next era: the use of electronic health record clinical performance indicators, such as Resident-Sensitive Quality Measures (RSQMs) and TRainee Attributable and Automatable Care Evaluations in Real-time (TRACERs), for learner assessment. They elaborate on both the promise and the potential limitations of using such measures in a program of learner assessment.

以能力为基础的医学教育(CBME)是一种以患者为中心、以学员为重点的教育方法,其课程是根据个人的学习需求量身定制的,而评估的重点则是确保学员取得必要的、明确规定的学习成果。尽管人们呼吁将评估重点放在对患者重要的事情上。在这篇文章中,作者探讨了下一个时代的一个方面:使用电子健康记录临床表现指标,如住院医师敏感质量衡量标准(RSQMs)和实时受训者可归因和自动护理评估(TRACERs),对学员进行评估。他们详细阐述了在学习者评估计划中使用这些指标的前景和潜在局限性。
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引用次数: 0
Foreword: Preparing future pediatricians and pediatric subspecialists: Competency-based medical education – Part 2 前言:培养未来的儿科医生和儿科亚专科医生:基于能力的医学教育--第二部分。
IF 3 4区 医学 Q1 PEDIATRICS Pub Date : 2024-08-13 DOI: 10.1016/j.cppeds.2024.101676
David A. Turner MD , Patricia Poitevien MD MSc
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引用次数: 0
Accelerating therapeutic development and clinical trial readiness for STXBP1 and SYNGAP1 disorders 加快 STXBP1 和 SYNGAP1 疾病的治疗开发和临床试验准备。
IF 3 4区 医学 Q1 PEDIATRICS Pub Date : 2024-08-01 DOI: 10.1016/j.cppeds.2024.101576

Gene-targeted therapies for genetic neurodevelopmental disorders (NDDs) are becoming a reality. The Center for Epilepsy and Neurodevelopmental Disorders (ENDD) is currently focused on the development of therapeutics for STXBP1 and SYNGAP1 disorders. Here we review the known clinical features of these disorders, highlight the biological role of STXBP1 and SYNGAP1, and discuss our current understanding of pathogenic mechanisms and therapeutic development. Finally, we provide our perspective as scientists and parents of children with NDDs, and comment on the current challenges for both clinical and basic science endeavors.

针对遗传性神经发育障碍(NDDs)的基因靶向疗法正在成为现实。癫痫和神经发育障碍中心(ENDD)目前正致力于开发针对STXBP1和SYNGAP1障碍的疗法。在此,我们回顾了这些疾病的已知临床特征,强调了 STXBP1 和 SYNGAP1 的生物学作用,并讨论了我们目前对致病机制和治疗开发的理解。最后,我们以科学家和 NDDs 患儿家长的双重身份提出了自己的观点,并对当前临床和基础科学工作所面临的挑战发表了看法。
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引用次数: 0
期刊
Current Problems in Pediatric and Adolescent Health Care
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