在专业培训中重新审视单一时刻的高风险考试:批判性的叙事审查
Navdeep S Sidhu1,2, Simon Fleming3
1Department of Anaesthesiology, School of Medicine, University of Auckland, Auckland, New Zealand.
Medical teacher
|September 23, 2023
概括
单一时刻高风险考试 (SMITHSEx) 不是专业培训的必要条件. 替代性评估可以更好地评估工作场所的能力,并改善学员的幸福感.
科学领域:
- 医学教育 医学教育
- 专业培训评估 专业培训评估
- 医疗保健能力评价 医疗保健能力评价
背景情况:
- 单一时刻高风险考试 (SMITHSEx) 传统上被视为专业培训的基准.
- 然而,SMITHSEx主要评估知识,经常忽视关键的工作场所能力.
- 监管机构没有在专业培训计划中授权SMITHSEx.
研究的目的:
- 批判性地审查SMITHSEx在当代专业培训中的作用.
- 评估支持和反对SMITHS的论点Ex.
- 探索其他评估方法和改变障碍.
主要方法:
- 对现有文献和论点进行批判性叙事审查.
- 分析SMITHSEx在评估各种能力方面的局限性.
- 检查替代评估策略及其影响.
主要成果:
- 史密斯不充分衡量工作场所的基本技能,如危机管理,专业精神和协作.
- 这些考试可能会对学员的幸福感产生负面影响,导致倦怠和差异性成就.
- 其他评估,包括持续的低风险评估和基于能力的医学教育 (CBME),提供更全面的评估.
结论:
- 专家培训应该超越SMITHSEx,转向整体评估方法.
- 评估策略必须与临床实践保持一致,强调实践知识,并支持学习.
- 采用多样化,基于能力的评估将增强学员福利和职业成功.
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