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首页> 外文期刊>Academic Medicine: Journal of the Association of American Medical Colleges >Commentary: one strategy for building public trust in changing times.
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Commentary: one strategy for building public trust in changing times.

机译：评论：在瞬息万变的时代建立公众信任的一种策略。

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摘要

Major health care reforms are being debated in the United States. While these debates address issues of access and cost, the systems-based problems of patient safety, continuous quality improvement, and an integrated approach to continuing professional development (CPD) remain traditional opportunities for the profession to directly improve health care and maintain professional accountability. Such challenges can be addressed independently of proposed reforms and offer an opportunity for the profession to build greater public trust. Given recent evidence questioning many assumptions behind individually focused CPD, and as physicians' work shifts into group and team contexts, it is an opportune time to address better CPD strategies within emerging group and team settings.The first strategic change requires a focus on managing the development of the individual physician's educational growth into a systems-oriented approach based on better information and feedback within groups of practitioners and health care teams. Second, the renewal of the linked visions of professional collegiality and accountability with professional regulation needs to be seen as a collective responsibility across key organizations within the profession's normal accountability framework. Thus, the professional colleges, certifying boards, and regulatory authorities need to collaborate with the CDP community in refocusing their collective activities to promote the profession's traditional role of improving the quality of care and maintaining the public's trust in these times of intense policy debate.
机译：在美国，主要的医疗改革正在进行辩论。尽管这些辩论解决了获取和成本问题，但是基于系统的患者安全，持续质量改进以及持续专业发展的综合方法仍然是该行业直接改善医疗保健和维持专业责任制的传统机会。这些挑战可以独立于拟议的改革来解决，并且为该行业提供了建立更大公众信任的机会。鉴于最近的证据质疑以个人为中心的CPD背后的许多假设，并且随着医生的工作转移到团队和团队环境中，现在是时候在新兴的团队和团队环境中解决更好的CPD策略的时候了。在医师和医疗团队的基础上，基于更好的信息和反馈，将个人医师的教育发展发展为面向系统的方法。第二，需要将专业学院和问责制与专业法规的联系重新焕发活力，这被视为该行业正常问责制框架内各主要组织的集体责任。因此，在激烈的政策辩论时期，专业学院，认证委员会和监管机构需要与CDP社区合作，重新调整其集体活动的重点，以提高该行业的传统作用，即提高护理质量并保持公众的信任。

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