Improving Ambulatory Training in Internal Medicine: X + Y (or Why Not?)
详细信息 查看全文
- 作者：Alaka Ray MD ; Danielle Jones MD ; Kerri Palamara MD…
- 关键词：KEY WORDSmedical education ; ambulatory training ; resident continuity clinic ; outpatient education ; clinic scheduling
- 刊名：Journal of General Internal Medicine
- 出版年：2016
- 出版时间：December 2016
- 年：2016
- 卷：31
- 期：12
- 页码：1519-1522
- 全文大小：
- 刊物主题：Internal Medicine;
- 出版者：Springer US
- ISSN：1525-1497
- 卷排序：31
文摘
The Accreditation Council for Graduate Medical Education (ACGME) requirement that internal medicine residents spend one-third of their training in an ambulatory setting has resulted in programmatic innovation across the country. The traditional weekly half-day clinic model has lost ground to the block or “X + Y” clinic model, which has gained in popularity for many reasons. Several disadvantages of the block model have been reported, however, and residency programs are caught between the threat of old and new challenges. We offer the perspectives of three large residency programs (University of Washington, Emory University, and Massachusetts General Hospital) that have successfully navigated scheduling challenges in our individual settings without implementing the block model. By sharing our innovative non-block models, we hope to demonstrate that programs can and should create the solution that fits their individual needs.