How a Team Effectiveness Approach to Health Systems Science Can Illuminate Undergraduate Medical Education Outcomes

被引：1
|
作者：
Kim, Jung G. [1 ,17 ]
Gonzalo, Jed D. [2 ,3 ]
Chen, Isabel [1 ]
Vo, Anne [4 ]
Lupi, Carla [5 ]
Hyderi, Abbas [6 ,7 ]
Haidet, Paul [8 ]
Dewaters, Ami [9 ]
Blatt, Barbara [10 ]
Holmboe, Eric [11 ,12 ,13 ]
Thompson, Lindsey R. [14 ]
Jimenez, Jazmin [15 ]
Madigosky, Wendy [15 ]
Chung, Paul J. [15 ,16 ]
机构：
[1] Kaiser Permanente Bernard J Tyson Sch Med, Dept Hlth Syst Sci, Serv Learning, Pasadena, CA USA
[2] Virginia Tech Caril Sch Med, Med & Hlth Syst & implementat Sci, Roanoke, VA USA
[3] Virginia Tech Caril Sch Med, Med Educ, Roanoke, VA USA
[4] Kaiser Permanente Bernard J Tyson Sch Med, Dept Hlth Syst Sci, Assessment & Evaluat, Pasadena, CA USA
[5] Kaiser Permanente Bernard J Tyson Sch Med, Dept Clin Sci, Assessment & Evaluat, Pasadena, CA USA
[6] Kaiser Permanente Bernard J Tyson Sch Med, Med Educ, Pasadena, CA USA
[7] Kaiser Permanente Bernard J Tyson Sch Med, Clin Sci, Pasadena, CA USA
[8] Penn State Coll Med, Med Publ Hlth Sci & Humanities, Hershey, PA USA
[9] Penn State Coll Med, Med, Hershey, PA USA
[10] Penn State Coll Med, Hlth Syst Sci Educ, Hershey, PA USA
[11] Accreditat Council Grad Med Educ, Milestones Dev & Evaluat, Chicago, IL USA
[12] Yale Univ, Med, New Haven, CT USA
[13] Northwestern Univ, Feinberg Sch Med, Chicago, IL USA
[14] Kaiser Permanente Bernard J Tyson Sch Med, Dept Hlth Syst Sci, Hlth Syst Sci Res Operat, Pasadena, CA USA
[15] Kaiser Permanente Bernard J Tyson Sch Med, Dept Hlth Syst Sci, Pasadena, CA USA
[16] Univ Calif Los Angeles, Dept Pediat & Hlth Policy & Management, Los Angeles, CA USA
[17] Kaiser Permanente Bernard J Tyson Sch Med, Dept Hlth Syst Sci, 100S Robles,4th Floor, Pasadena, CA 91101 USA
来源：
ACADEMIC MEDICINE | 2024年 / 99卷 / 04期
关键词：
12; TIPS; CARE; STUDENT; INTERVENTIONS; COMPETENCES; QUALITY; SCHOOL;
D O I：
10.1097/ACM.0000000000005619
中图分类号：
G40 [教育学];
学科分类号：
040101 ; 120403 ;
摘要：
Health care delivery requires physicians to operate in teams to successfully navigate complexity in caring for patients and communities. The importance of training physicians early in core concepts of working in teams (i.e., "teaming") has long been established. Over the past decade, however, little evidence of team effectiveness training for medical students has been available. The recent introduction of health systems science as a third pillar of medical education provides an opportunity to teach and prepare students to work in teams and achieve related core competencies across the medical education continuum and health care delivery settings. Although educators and health care system leaders have emphasized the teaching and learning of team-based care, conceptual models and evidence that inform effective teaming within all aspects of undergraduate medical education (including classroom, clinical, and community settings) are needed to advance the science regarding learning and working in teams. Anchoring teaming through the core foundational theory of team effectiveness and its operational components could catalyze the empirical study of medical student teams, uncover modifiable factors that lead to the evidence for improved student learning, and improve the link among competency-based assessments between undergraduate medical education and graduate medical education. In this article, authors articulate several implications for medical schools through 5 conceptual areas: admissions, the design and teaching of team effectiveness in health systems science curricula, the related competency-based assessments, and course and program evaluations. The authors then discuss the relevance of the measurable components and intended outcomes to team effectiveness in undergraduate medical education as critical to successfully prepare students for teaming in clerkships and eventually residency and clinical practice.
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页码：374 / 380
页数：7
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