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System-based practice: proposal for a comprehensive curriculum.

机译：基于系统的实践：全面课程的建议。

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Systems-based practice (SBP) is the sixth competency of the required ACGME core competencies in US-based residency programs. SBP aims to ensure that residents (1) are aware of a larger context and system of health care and (2) have the ability to effectively call upon system resources to provide care of optimal value (1). Therefore diagnostic radiology residency training programs must provide SBP education.The core competencies were introduced in 1999 and implemented between 2001 and 2002 as part of the outcome project by ACGME (1). The outcome project is still ongoing, currently in its second phase that aims at "sharpening the focus and definition of the competencies and assessment tools" (1). The SBP competency has received far less attention than the other five competencies, mostly because of its less defined nature when compared to the others (2). Little has been published about this requirement in radiology, and its implications remain relatively unexplored (3). In a relatively recent report only 3% of senior medical students identified system-based practice as the most relevant competency during residency and later in their careers (4).
机译：基于系统的实践（SBP）是美国驻留计划中ACGME所需核心能力的第六项能力。 SBP旨在确保居民（1）了解更大范围的医疗保健体系和系统，以及（2）有能力有效地利用系统资源来提供最佳价值的护理（1）。因此，放射诊断住院医师培训计划必须提供SBP教育。核心能力于1999年引入，并在2001年至2002年之间实施，作为ACGME结果项目的一部分（1）。结果项目仍在进行中，目前处于第二阶段，目的是“加强能力和评估工具的重点和定义”（1）。与其他五项能力相比，SBP能力受到的关注要少得多，这主要是因为与其他五项能力相比，SBP能力的定义性较差（2）。关于放射学中这一要求的文献很少，其含义仍未得到充分探索（3）。在相对近期的一份报告中，只有3％的高级医学生认为基于系统的实践是居留期间和职业生涯中最相关的能力（4）。

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