委派
心理干预
研究生医学教育
高等教育
医学教育
课程作业
刻度(仪器)
背景(考古学)
心理学
多样性(政治)
可靠性
衡平法
包裹体(矿物)
医学
政治学
护理部
社会心理学
古生物学
几何学
数学
法学
生物
作者
James N. Woodruff,Wei Wei Lee,Mónica B. Vela,Arnold I. Davidson
出处
期刊:Academic Medicine
[Ovid Technologies (Wolters Kluwer)]
日期:2023-05-23
卷期号:98 (6S): S39-S45
被引量:2
标识
DOI:10.1097/acm.0000000000005190
摘要
Adhering to the paradigm of the natural sciences, much of undergraduate medical education (UME) in the United States remains committed to objectivity, compliance, and standardization in its approach to teaching, evaluation, student affairs, and accreditation practices. The authors argue that, while these simple and complicated problem solving (SCPS) approaches may be valid for some highly controlled environments of UME, they lack rigor in complex, real-world environments where optimal care and education is not standardized but is tailored to context and individual needs. This argument is supported by evidence that “systems” approaches, characterized by complex problem solving (CPS, differentiated from complicated problem solving), lead to better outcomes in patient care and student academic performance. Examples of interventions implemented at the University of Chicago Pritzker School of Medicine from 2011 to 2021 further illustrate this point. Interventions in student well-being that emphasize personal and professional growth have led to student satisfaction that is 20% higher than the national average on the Association of American Medical Colleges Graduation Questionnaire (GQ). Career advising interventions that augment the use of adaptive behaviors in place of rules and guidelines have yielded 30% fewer residency applications per student than the national average while simultaneously yielding residency “unmatched” rates that are one-third of the national average. Regarding diversity, equity, and inclusion, an emphasis on civil discourse around real-world problems has been associated with student attitudes toward diversity that are 40% more favorable than the national average on the GQ. In addition, there has been an increase in the number of matriculating students who are underrepresented in medicine to 35% of the incoming class. The article concludes with a review of philosophic barriers to incorporating the CPS paradigm into UME and of notable pedagogic differences between CPS and SCPS approaches.
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