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Assessing systems-based practice.
Esther H Chen1, Patricia S O'Sullivan, Camiron L Pfennig
1Department of Emergency Medicine, University of California San Francisco/San Francisco General Hospital, USA. esther.chen@emergency.ucsf.edu
Assessing systems-based practice (SBP) in emergency medicine (EM) is challenging due to its abstract nature. This study reviews current assessment tools and proposes a research agenda for developing better methods to evaluate SBP competencies.
Area of Science:
- Medical Education
- Healthcare Systems Engineering
- Emergency Medicine Research
Background:
- Systems-based practice (SBP) is a core competency in medical education, yet its conceptual nature complicates direct assessment.
- Existing methods for evaluating SBP in emergency medicine (EM) are limited in their ability to capture observable behaviors.
Purpose of the Study:
- To review the current literature on assessment tools for systems-based practice (SBP) in emergency medicine (EM).
- To identify research gaps and propose a future research agenda for developing robust SBP assessment tools.
Main Methods:
- Literature review of existing SBP assessment tools.
- Discussion and consensus-building among experts at an Academic Emergency Medicine conference.
- Development of a research agenda based on identified needs.
Main Results:
- The conceptual definition of SBP poses challenges for creating directly observable and assessable actions.
- A review highlighted limitations in current SBP assessment tools within EM.
- Key areas for future research tool development were identified.
Conclusions:
- There is a critical need for improved, behaviorally-based assessment tools for systems-based practice in emergency medicine.
- Further research is required to develop and validate new assessment methodologies for SBP competencies.
- A collaborative research agenda can guide the advancement of SBP education and assessment in EM.
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