原创力文档attitudes of medical students to medical leadership and management a systematic review to inform curriculum development态度的医学生医疗领导和管理系统回顾通知课程开发.pdfVIP
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Abbas et al. BMC Medical Education 2011, 11:93
/1472-6920/11/93
RESEARCH ARTICLE Open Access
Attitudes of medical students to medical
leadership and management: a systematic review
to inform curriculum development
1* 1 2 1
Mark R Abbas , Thelma A Quince , Diana F Wood and John A Benson
Abstract
Background: There is a growing acknowledgement that doctors need to develop leadership and management
competences to become more actively involved in the planning, delivery and transformation of patient services.
We undertook a systematic review of what is known concerning the knowledge, skills and attitudes of medical
students regarding leadership and management. Here we report the results pertaining to the attitudes of students
to provide evidence to inform curriculum development in this developing field of medical education.
Methods: We searched major electronic databases and citation indexes within the disciplines of medicine,
education, social science and management. We undertook hand searching of major journals, and reference and
citation tracking. We accessed websites of UK medical institutions and contacted individuals working within the field.
Results: 26 studies were included. Most were conducted in the USA, using mainly quantitative methods. We used
inductive analysis of the topics addressed by each study to identity five main content areas: Quality Improvement;
Managed Care, Use of Resources and Costs; General Leadership and Management; Role of the Doctor, and Patient
Safety. Students have positive attitudes to clinical practice guidelines, quality improvement techniques and
multidisciplinary teamwork, but mixed attitudes to managed care, cost containment and medical error. Education
interventions had variable effects
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