高度专业的住院医生的行为
Darcy A Reed1, Colin P West, Paul S Mueller
1Division of Primary Care Internal Medicine, Mayo Clinic College of Medicine, Rochester, Minnesota 55905, USA. reed.darcy@mayo.edu
JAMA
|September 19, 2008
概括
高专业的住院医生表现出卓越的知识和临床技能,完成了更多的评估. 这些发现强调了基于观察的评估在识别具有强烈专业精神的居民方面的重要性.
科学领域:
- 医学教育 医学教育
- 医学中的专业精神
- 居民评估评估的居民.
背景情况:
- 医学院的不专业行为对执业医生有严重的影响.
- 人们对在住院培训期间与专业精神相关的特定行为知之甚少.
研究的目的:
- 识别与同行区分高专业居民的行为.
- 建立客观的措施来评估居民的专业性.
主要方法:
- 对148名第一年内科住院医生的比较研究.
- 通过同行,教师和工作人员在一年内进行基于观察的评估来评估专业性.
- 高度专业的居民被定义为那些在专业性评估中得分在第80百分位或更高的人.
主要成果:
- 高专业的住院人员在培训中的考试 (ITE) 和迷你临床评估练习 (mini-CEX) 中获得了更高的分数.
- 与同龄人相比,他们还完成了较高比例的必要评估.
- 专业性分数与ITE分数,迷你CEX分数和评估完成分数独立相关.
结论:
- 基于观察的专业性评估与住院医生的医学知识和临床能力相关.
- 这些评估是识别有强烈良心行为的居民的宝贵工具.
- 住院期间的专业精神与医学培训中的关键绩效指标有关.
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