自主地图:在通往可信任的专业活动 (EPA) 的道路上,为逐步的居民运营自主建立共享的心理模型
Leah C Tatebe1, Kimberly B Golisch1, Lauren M Janczewski1
1Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
Journal of surgical education
|August 3, 2023
概括
居民和教师开发了"自治地图",以澄清运营自主期望,提高居民满意度和技术技能反. 这种结构化的方法增强了外科教育和评估.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 基于能力的教育 基于能力的教育
背景情况:
- 居民对运营自主性的不满和教师对技术技能不一致的反被确定.
- 教师分配的操作自主水平的变化在外科培训中造成了模两可.
- 需要在住院生和教师之间建立一个共同的理解的内部操作性绩效的期望.
研究的目的:
- 在外科住院生和教师之间创建一个共享的心理模型,以期望在手术期间的表现.
- 为了在不同的程序和研究生年中标准化教师对居民操作自主性的期望.
- 提高居民满意度和技术技能质量的反.
主要方法:
- 根据居民研究生年份,教师为程序步骤分配了自主级别 (使用Zwisch级别).
- 一个代的过程将这些期望标准化为跨服务线的"自治地图".
- 分发了地图,进行了教育课程,并将基准纳入评估中.
主要成果:
- 最初的绘图显示,教师对居民的操作自主性的期望有显著的变化.
- 居民报告说,由于更清楚地了解业绩期望,他们的满意度增加了.
- "自治地图"为居民的技术技能提供了更具体和可操作的反.
结论:
- 教师对居民操作自主性的期望本质上是可变的.
- "自治地图"为渐进的运营自主性建立了一个结构化的框架,提高居民满意度.
- 具体案例的技术基准对于评估居民的技术里程碑和提高外科能力是有价值的.
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