Improving Ambulatory Training in Internal Medicine: X + Y (or Why Not?).
J Gen Intern Med
; 31(12): 1519-1522, 2016 12.
Article
em En
| MEDLINE
| ID: mdl-27439977
ABSTRACT
The Accreditation Council for Graduate Medical Education (ACGME) requirement that internal medicine residents spend one-third of their training in an ambulatory setting has resulted in programmatic innovation across the country. The traditional weekly half-day clinic model has lost ground to the block or "X + Y" clinic model, which has gained in popularity for many reasons. Several disadvantages of the block model have been reported, however, and residency programs are caught between the threat of old and new challenges. We offer the perspectives of three large residency programs (University of Washington, Emory University, and Massachusetts General Hospital) that have successfully navigated scheduling challenges in our individual settings without implementing the block model. By sharing our innovative non-block models, we hope to demonstrate that programs can and should create the solution that fits their individual needs.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Admissão e Escalonamento de Pessoal
/
Assistência Ambulatorial
/
Instituições de Assistência Ambulatorial
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Medicina Interna
/
Internato e Residência
Tipo de estudo:
Prognostic_studies
Limite:
Humans
Idioma:
En
Ano de publicação:
2016
Tipo de documento:
Article