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基于视频的干预措施,以提高医生的自我评估准确性:系统性审查

Chandni Pattni¹, Michael Scaffidi^1,2, Juana Li¹

¹Division of Gastroenterology, St. Michael's Hospital, University of Toronto, Toronto, Canada.

|July 13, 2023

概括

视频干预可以提高医生自我评估的准确性. 审查基准或自我录制的视频可以改善医生如何评估自己的表现,有助于专业发展.

科学领域:

医学教育医学教育
医生绩效评估的医生表现评估
改善医疗保健质量改善医疗保健质量

背景情况:

医生自我评估对于识别绩效差距和指导纠正行动至关重要.
不准确的自我评估会阻碍医生的专业发展和患者护理.
建议基于视频的干预措施来提高医生自我评估的准确性.

研究的目的:

系统地审查基于视频的干预措施在提高医生自我评估准确性的有效性.
评估不同类型的视频干预,包括自我审查和基准审查.

主要方法:

在主要数据库 (MEDLINE,Embase,EBM评论,Scopus) 进行了系统的文献搜索,直到2022年8月.
包括的研究是经验调查,比较医生的自我评估准确性,视频干预前后.
自我评估的准确性被定义为外部评估和自我评估之间的统计分析比较.

主要成果:

九项涉及5个专业的240名医生的研究符合纳入标准.
大多数研究 (5/9) 在基线时表明自我评估不准确.
在九项研究中,有五项报告说,视频干预后自我评估准确度的统计学上显著改善.

结论:

基于视频的干预显示了提高医生自我评估准确性的潜力.
基准视频审查可能有利于经验较少的医生,而自我视频审查可以帮助更有经验的医生.
建议在未来的研究中使用标准化的准确性比较方法,以实现元分析.

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