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基于能力的可变时间麻醉师实习培训:问题识别和解决方案
Skylar L Fuller1, Aditee P Ambardekar2, Carol Ann B Diachun3
1From the Department of Anesthesiology and Perioperative Medicine, Oregon Health & Science University, Portland, Oregon.
Anesthesia and analgesia
|July 14, 2023
概括
在麻醉师实习中,基于能力的时间变量培训 (CB-TVT) 提出了挑战,许多已确定的问题是重要的,难以解决的. 未来的试点项目应该记录解决方案和结果,以证明CB-TVT的实施是合理的.
科学领域:
- 医学教育 医学教育
- 麻醉学培训 麻醉学培训
- 基于能力的教育 基于能力的教育
背景情况:
- 全球医学教育正在向基于能力的教育 (CBE) 转变.
- 基于能力的时间可变培训 (CB-TVT) 是CBE的高级阶段,以基于能力的进步取代固定培训时间.
- 美国居住计划正在探索CB-TVT,受到ACGME和ABMS的鼓励,但存在实施挑战.
研究的目的:
- 确定实施CB-TVT在麻醉医疗住院的潜在问题.
- 排列解决这些已识别的问题的重要性和困难程度.
- 开发针对CB-TVT实施的挑战提出的解决方案.
主要方法:
- 进行了一项两阶段的研究,涉及麻醉学教育的36个关键利益相关者.
- 第1阶段使用代调查来识别和排名与CB-TVT实施相关的问题.
- 第二阶段调查的重点是为第一阶段发现的问题提供解决方案.
主要成果:
- 确定了39个潜在问题,并将其分为7个类别.
- 近一半 (48.7%) 的问题被认为是重要的,超过60%的这些重要问题被认为是难以解决的.
- 利益相关者提出了165个解决方案,以应对确定的实施挑战.
结论:
- CB-TVT为麻醉医生住院提供了一个有前途的模式,增强学习者灵活性和个性化的课程.
- 解决已识别的问题对于成功采用CB-TVT至关重要.
- 未来的试点计划应该仔细记录挑战,解决方案的有效性和教育成果,以验证CB-TVT的好处.
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