在居民培训中对程序技能的基于能力的评估
Pete Meliagros1, Adam Garber2, Nargiza Sadr3
1Department of Internal Medicine, Hospital Medicine, Virginia Commonwealth University Health System/VCU Health, Richmond, Virginia, USA.
Journal of hospital medicine
|July 17, 2023
概括
一个程序能力委员会 (PCC) 改善了住院人员的培训和对床边程序的反. 执行更多程序增加了居民获得独立程序技能的可能性.
科学领域:
- 医学教育 医学教育
- 内部医学实习生培训 内部医学实习生培训
- 临床技能评估 临床技能评估
背景情况:
- 缺乏用于评估临床程序能力的标准化总结工具.
- 居民和项目需要有效的总结性反机制,以提高程序技能.
研究的目的:
- 描述一个程序能力委员会 (PCC) 的创建和实施.
- 评估PCC对居民程序培训和反的影响.
- 检查居民在床边程序能力方面的进展.
主要方法:
- 由医院医生组成的程序能力委员会 (PCC) 在三学年内每两年审查一次居民投资组合.
- 居民被分配到五个能力水平之一,从参与到独立的表现和监督.
- 多项逻辑回归分析了随着程序经验的增加而提高能力水平的概率.
主要成果:
- 与腰椎穿刺 (LP) 或中央静脉导管 (CVC) 相比,更多的住户实现了空心术的独立监督 (IS).
- 执行的每一个额外程序都增加了从直接监管 (DS) 转向IS的可能性.
- 提升到IS的特定几率比率为1.31对体,1.83对LP和2.00对CVC.
结论:
- PCC提供了一种结构化的方法,用于基于能力的评估居民的程序技巧.
- 这种以委员会为基础的评估可以为医疗课程的变化提供信息和评估.
- 该PCC流程促进客观反,并跟踪居民技能发展.
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