探索在印度实施助理医师项目标准化课程的潜在挑战:利益相关者讨论的启示。

Manesh Muraleedharan, Gomathy Sundar, Scott Smalley, Philip A Begg, Deepa C Philip
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引用次数: 0

摘要

导言:本文探讨了在印度实施国家级协理医生(PA)标准化课程的潜在挑战,该课程是根据《2021 年国家联合与医疗保健专业人员委员会法案》(National Commission for Allied and Healthcare Professionals Act of 2021)制定的:该项目于 2023 年 8 月启动,首先通过电子邮件向主要利益相关者发送了课程草案以供审核,随后于 9 月 3 日召开了一次虚拟会议。包括各大学教师在内的主要利益相关者参加了 2023 年 9 月 21 日在甘地纳加尔举行的国际医师助理教育者协会和印度医师助理协会年会的焦点小组讨论(FGD):出现了四大主题:(1) 师资发展;(2) 师资招聘;(3) 与国家教育政策保持一致;(4) 为助理医师开设硕士学位课程的必要性。所面临的挑战包括合格师资的短缺、学术职务的薪酬缺乏竞争力以及硕士学位课程的低入学率。提出的建议包括增加对从事教学工作的 PA 的经济补偿,通过增加硕士学位课程培养更多 PA 教育工作者,鼓励医院规定新聘人员的临床和教学角色,以及为有志于从事教学工作的 PA 提供教学法培训:为 PA 实施标准化课程面临着巨大挑战,尤其是在教师招聘和留任方面。让更广泛的利益相关者参与进来,对于成功推广该课程和满足印度不断变化的医疗保健需求至关重要。
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Exploring Potential Challenges in Implementing a Standardized Curriculum for the Physician Associate Program in India: Insights From Stakeholder Discussions.

Introduction: This article explores the potential challenges in implementing a national-level standardized curriculum for physician associate (PA) programs in India, an initiative under the directions of the National Commission for Allied and Healthcare Professionals Act of 2021.

Methods: Initiated in August 2023, a multistage process began with emailing a draft curriculum for review to key stakeholders, followed by a virtual meeting on September 3. Key stakeholders, including faculty from various universities, participated in focus group discussions (FGDs) at the International Association of Physician Associate Educators and the Indian Association of Physician Assistants annual conference on September 21, 2023, in Gandhinagar.

Results: Four major themes emerged: (1) faculty development, (2) faculty recruitment, (3) alignment with the National Educational Policy, and (4) the necessity of master's degree programs for PAs. Challenges identified included shortage of qualified faculty, uncompetitive salaries for academic roles, and low enrollment in master's programs. Recommendations included increasing financial compensation for teaching PAs, developing more PA educators through additional master's programs, encouraging hospitals to mandate clinical and teaching roles for recruits, and introducing pedagogical training for PAs interested in teaching.

Discussion: Implementing a standardized curriculum for PAs faces significant challenges, especially in faculty recruitment and retention. Engaging a broader range of stakeholders is essential for the successful rollout of the curriculum and for meeting India's evolving health care needs.

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