The DOI matches its Crossref record; 72 of the 72 references it cites were found in a registry or an index.
Beyond “see one, do one, teach one”: toward a different training paradigm
Open accessAbstract
In the process of acquiring new skills, physicians-in-training may expose patients to harm because they lack the required experience, knowledge and technical skills. Yet, most teaching hospitals use inexperienced residents to care for high-acuity patients in complex and dynamic environments and provide limited supervision from experienced clinicians. Multiple efforts in the last few years have started to address the problem of patient safety. Examples include voluntary incident-reporting systems and team training workshops for practising clinicians. Fewer efforts have addressed the deficits in training new physicians, especially related to knowledge, skills and competence. The current apprenticeship or “see one, do one, teach one” model is insufficient because trainees learn by practising on real patients, which is particularly an issue when performing procedures. Residents have expressed that they do not feel adequately trained to perform procedures safely by themselves. In this paper, we conduct an informal review of the impact of current training methods on patient safety. In addition, we propose a new training paradigm that integrates competency-based knowledge and clinical skills, with deliberate attitudinal and behavioural changes focused on patient safety in a safe medically simulated environment. We do so with the hope of creating a better marriage between the missions of training and patient safety.
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Cites
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Cited by
Effectiveness of Immersive Virtual Reality in Surgical Training—A Randomized Control Trial
Pulijala, Y., Ma, M., Pears, M., Peebles, D., & Ayoub, A. (2018) · Journal of Oral and Maxillofacial Surgery · doi:10.1016/j.joms.2017.10.002 · Cited by 264
Effective teaching of manual skills to physiotherapy students: a randomised clinical trial
Rossettini, G., Rondoni, A., Palese, A., Cecchetto, S., Vicentini, M., Bettale, F., Furri, L., & Testa, M. (2017) · Medical Education · doi:10.1111/medu.13347 · Cited by 57
Web-based simulation in psychiatry residency training: a pilot study
Gorrindo, T., Baer, L., Sanders, K. M., Birnbaum, R. J., Fromson, J. A., Sutton-Skinner, K. M., Romeo, S. A., & Beresin, E. V. (2011) · Academic Psychiatry · doi:10.1176/appi.ap.35.4.232 · Cited by 40
Educational strategies in performing cesarean section
Madsen, K., Grønbeck, L., Rifbjerg Larsen, C., Østergaard, J., Bergholt, T., Langhoff‐Roos, J., & Sørensen, J. L. (2013) · Acta Obstetricia et Gynecologica Scandinavica · doi:10.1111/aogs.12055 · Cited by 29
Martino, S., Zimbrean, P., Forray, A., Kaufman, J. S., Desan, P. H., Olmstead, T. A., Gilstad-Hayden, K., Gueorguieva, R., & Yonkers, K. A. (2019) · Journal of General Internal Medicine · doi:10.1007/s11606-019-05257-3 · Cited by 24
Metadata
- Authors
- Rodriguez-Paz, J. M., Kennedy, M., Salas, E., Wu, A. W., Sexton, J. B., Hunt, E. A., & Pronovost, P. J.
- Venue
- Postgraduate Medical Journal
- Publisher
- Oxford University Press (OUP)
- Published
- 2009-05-01
- Volume
- 85
- Issue
- 1003
- Pages
- 244-249
- ISSN
- 0032-5473 (ISSN-L)
- 1469-0756
- OpenAlex
- W1956969592
- Cited by
- 280
- References
- 72
- FWCI
- 7.09
- Type
- journal article
- Language
- en
- Open access
- green
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- Rodriguez-Paz, J. M., Kennedy, M., Salas, E., Wu, A. W., Sexton, J. B., Hunt, E. A., & Pronovost, P. J. (2009). Beyond “see one, do one, teach one”: toward a different training paradigm. Postgraduate Medical Journal. https://doi.org/10.1136/qshc.2007.023903
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