跨专业教育:医科本科生的团队合作

None Shumaila Rafi
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引用次数: 0

摘要

女士,过去十年是全球向协作学习和实践的转变。一份联合委员会的报告指出,80%的医疗事故是由于病人移交过程中的沟通不周造成的,其中44%发生在住院情况1。世卫组织提出了跨专业教育(IPE)的理念,并将其定义为“来自两个或两个以上专业的学生相互了解、相互学习并相互学习,以实现有效合作并改善成果”的一种体验。国际政治经济学的核心能力包括团队合作、沟通技巧、道德实践、角色和责任以及冲突解决能力。IPE期望提高知识、技能和对合作的态度,以提高他们未来的临床实践。巴基斯坦是一个正在加强国际政治经济的发展中国家。卡拉奇医学和牙科学院启动了一项研究方法培训计划,重点是IPE的原则,以改善初级保健服务。阿迦汗大学(Aga Khan University)的牙齿卫生项目也是IPE改善患者医疗保健的一个例子。这些不足可以通过在课程中纵向和横向整合IPE来克服。缺乏正式的以团队为基础的护理项目,使大多数学生无法学习专业角色。这证明了需要关注可以在本科课程中使用的学习方法,从而创造和培养一个协作学习环境。基于案例的学习和基于团队的学习是产生经验学习和反思的有价值的方法。模拟允许学生练习和提高他们与医学生之间的沟通和协作。电子学习是值得启发他们的理解和认识进一步专业的职责和权力,这是独特的IPE4的领先能力。建立IPE活动的后勤工作可能更具挑战性。学院之间缺乏管理、缺乏组织支持等领导对抗、IPE课程设计等课程挑战、师资培训不足、跨专业技能和能力不足、资源匮乏等转型阻力等教学挑战是院校面临的主要挑战5。各院校应制定实施跨专业教育的最佳战略。高层领导和政策制定者需要努力推进国际政治经济学,这样不同的职业才能更容易地相互受益。
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Interprofessional education: collaborative team work among undergraduate medical students
Madam, The last decade has been a global shift towards collaborative learning and practice. A Joint Commission Report noticed that 80% of all medical errors were due to miscommunications during patient handoffs, with 44% occurring in inpatient settings1. Learning Together to Work Together for Health is the essential guide for the working of Interprofessional Education (IPE), the idea presented by WHO and is defined as an experience that “occurs when students from two or more professions learn about, from, and with each other to enable effective collaboration and improve outcomes”2. The core competencies for IPE include collaborative teamwork, communication skills, ethical practice, roles and responsibilities, and conflict resolution2. IPE expects to improve the knowledge, skills, and attitudes towards collaboration to enhance their future clinical practice. Pakistan is a developing country that is strengthening IPE. The Karachi Medical and Dental College launched a training program on research methodology focusing on the principles of IPE to improve primary care delivery2. The Dental Hygiene Program at Aga Khan University is also an example of IPE improving patient healthcare3. These deficiencies can be overcome by vertically and horizontally integrating IPE in the curriculum.  The absence of a formal team-based care programme deprives most students from learning about professional roles. This warrants a need to focus on learning approaches that can be used in undergraduate curricula and thereby create and foster a collaborative learning environment. Case-based learning and team-based learning are valuable approaches resulting in experiential learning and reflection. Simulations allow students to practice and improve their communication and collaboration among medical students. E-learning is worthwhile for enlightening their understanding and cognizance of further profession’s duties and authorities, which is unique to the leading competencies of IPE4. The logistics of setting up IPE activities may be more challenging. The leadership confrontation such as lack of management between the faculties and lack of support by organization, curriculum challenges like IPE courses designing, teaching challenges, such as shortage of faculty members training, skills and competence in interprofessional and resistance to transformation i.e. dearth of resources are the main challenges for the institutions5. The institutions should engage in policies in the best strategies to implement interprofessional education. Hierarchical heads and policymakers need to put forth an effort to advance IPE so that different professions can benefit from each other more easily.
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