USMLE Step-2 CS考试的消亡:合理化一个前进的道路
Francis I Achike1, Jennifer G Christner2, Jeremy L Gibson1
1Texas A&M University College of Medicine, Health Professions Education Building, 8447 Riverside Pkwy, Bryan, TX 77807, USA.
Journal of the National Medical Association
|May 28, 2023
概括
由于COVID-19,USMLE第二步临床技能 (CS) 考试被取消,促使对临床技能评估进行重新评估. 一个新的框架提出了远程和本地评估方法,以确保对医生的能力进行有效,可靠和公平的评估.
科学领域:
- 医学教育 医学教育
- 临床技能评估 临床技能评估
- 医生执照考试 医生执照考试 医生执照考试
背景情况:
- 由于COVID-19大流行,USMLE第二步临床技能 (CS) 考试被永久取消.
- 这次取消引发了关于医学教育中临床技能评估的未来的辩论.
- 在USMLE试图创新评估过程,解决有关有效性,成本和可行性的担忧.
研究的目的:
- 重新定义临床技能 (CS) 和其评估方式.
- 为有效,可靠,可行,公平和可验证的CS评估开发一个理论框架.
- 根据与流行病相关的挑战,提出一个新的CS评估模型.
主要方法:
- 定义临床技能 (CS) 作为医生与患者接触的医学艺术,包括病史记录和体检.
- 将CS组件分为知识和精神运动领域,以告知评估策略.
- 探索了CS评估的历史演变,并提出了远程和本地评估模型.
主要成果:
- 建立了CS评估的理论框架,强调沟通技巧和文化能力.
- 证明CS可以在很大程度上通过远程评估,其余的组件在USMLE监督下进行本地评估.
- 提出国家/地区教师发展计划和外部同行评审倡议 (EPRI).
结论:
- 临床技能评估需要创新,以确保有效性,可靠性和可行性.
- 通过USMLE规范的远程和本地评估的混合模型,可以有效地评估医生能力.
- 倡导临床技能演变为一个独特的学术学科.
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