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首页> 外文期刊>The Journal of Graduate Medical Education >Sleeping at Home: A New Model for a Hospital Teaching Service
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Sleeping at Home: A New Model for a Hospital Teaching Service

机译：睡在家里：一家新型医院教学服务

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The traditional marriage between teaching hospitals and residents pivots on a central prenuptial agreement: residents offer their hospitals round-the-clock patient care, and, in exchange, hospitals provide an experiential learning modality. This long-held covenant may require an update due to 3 significant changes: the increased spotlight on protecting resident education from excessive service demands; the development of hospital medicine as a specialty; and the need to provide more experiential learning in ambulatory care settings for primary care programs, including family medicine.The rapid growth of hospitalist care84 of all teaching hospitals in the United States have at least 3 hospitalists~(1)has been sparked in part by pressure placed on primary care doctors to increase outpatient visits and on hospitals to reduce length of stay.~(2) The desire to have better work/life balance coupled with fewer inpatient admissions and increased financial demands have resulted in a decline in family medicine physicians who provide both inpatient and outpatient care. Many hospitals are moving to hospitalist care, citing improved care and decreased cost.~()~(,3,4) In 2006, the year before we implemented our new model of inpatient teaching, 62.5 of our program's new graduates entered into practice without an inpatient component.
机译：教学医院与居民之间的传统婚姻在中央婚前协议上枢转：居民提供他们的医院圆时钟的患者护理，并以换取医院提供经验主义学习的方式。这款长期契约可能需要更新，由于3个重大变化：从过度服务需求保护居民教育的影响力增加;医院医学的发展为特色;并且需要在包括家庭医学的初级保健计划中提供更多体验学习，包括家庭医学。美国所有教学医院的医院护理84的快速增长至少有3名病员〜（1）部分被引发初级护理医生的压力增加了门诊和医院，以减少逗留时间。〜（2）渴望更好的工作/生活平衡与较少的住院入住录取以及增加的财务需求导致家庭医学医师的下降谁提供住院患者和门诊护理。许多医院正在迁移到医院护理，引用了改善的护理和降低成本。〜（）〜（，3,4）2006年，我们在我们实施了我们实施了我们的住院教学新模式之前，我们的计划新毕业生进入了实践住院部件。

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