一般外科实习生的能力评估:从全球南方的角度看,在CBME-Naive背景下
1Department of Surgery, Groote Schuur Hospital and University of Cape Town, Cape Town, South Africa.
Journal of surgical education
|July 15, 2023
概括
南非的整体外科实习生和顾问希望基于能力的医学教育评估. 他们强调需要在工作场所进行观察和反,以提高外科医生的培训和能力.
科学领域:
- 医学教育 医学教育
- 手术培训评估的评估
- 基于能力的医学教育
背景情况:
- 在南非,传统的以知识为中心的评估方法可能不足以评估外科能力.
- 在全球北方开发的基于能力的医学教育 (CBME) 原则需要适应环境,以便在当地实施.
- 需要了解开普敦大学 (UCT) 关于外科评估的实习生和顾问的观点.
研究的目的:
- 探索一般外科实习生和顾问对评估UCT外科能力的看法.
- 在一般外科培训中了解过去和未来的评估实践.
- 根据情境相关能力评估计划的发展提供信息.
主要方法:
- 与UCT的全科医生顾问和实习生进行了半结构化采访.
- 采访被转录并使用反思性主题分析进行分析.
- 参与者包括10名顾问和10名实习生 (5名南非人,5名国际人).
主要成果:
- 五个关键主题出现了:能力是必不可少的,它跨越多个领域,外科技能是至关重要的,以前的方法是不够的,并且需要频繁的反.
- 参与者认识到,传统的评估真正能力的方法是不够的.
- 显而易见的是,人们对更频繁的评估和建设性的反有强烈的愿望.
结论:
- 对于UCT的整体外科培训,需要一个与CBME原则一致的新能力评估计划.
- 直接工作场所观察 (形成性和总结性) 的整合至关重要.
- 强调程序技能和高质量的反可以加强CBME在外科培训中的实施.
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