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。

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引用次数: 0

摘要

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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The role of competency based medical education in addressing health inequities and cultivating inclusive learning environments

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.

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来源期刊
CiteScore
4.60
自引率
0.00%
发文量
61
审稿时长
5 days
期刊介绍: Recognized for its probing, comprehensive, and evidence-based reviews, Current Problems in Pediatric and Adolescent Health Care devotes each issue to a timely and practical topic in pediatric medicine, presented by leading authorities in the field. The journal offers readers easily accessible information that enhances professional experience and is pertinent to daily pediatric practice. Each issue''s review article is accompanied by an additional special feature designed to highlight a particular aspect of the topic presented.
期刊最新文献
Cerebral palsy Foreword. Caring for children with cerebral palsy: A commentary on cerebral palsy in children: a clinical practice review. Table of contents Editorial Board Page Starting with the end in mind: Transformative curriculum development in Competency-based medical education (CBME)
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