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一个开放的手术准备标准,用于外科实习生
Tejas S Sathe1, Meghal Shah1, Courtney J Pokrzywa1
1Department of Surgery, Columbia University, New York, New York.
The Journal of surgical research
|October 7, 2023
概括
一般外科医生通过使用测量感知能力的新工具来跟踪他们的手术进展. 到研究生5年,在大多数评估的外科技能中,住院人员觉得自己已经准备好进行无监督的实践.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 基于能力的评估.
背景情况:
- 美国外科委员会正在从基于体积的到基于能力的住户评估转变.
- 可信任的专业活动 (EPA) 是这种新评估模式的关键.
- 将EPA应用于操作程序有助于居民进度跟踪.
研究的目的:
- 引入一个操作准备工具来评估学员能力.
- 测量在操作,程序和临床活动中感知到居民的能力.
主要方法:
- 一项调查分发给一般外科的实习生.
- 居民在28项活动中使用EPA尺度 (仅对监督他人进行观察) 评价了他们的舒适度.
主要成果:
- 93%的居民回应了调查.
- 感知舒适度通常随着研究生年级的增加而增加.
- 到研究生5年,在28个能力中的17个能力中,居民取得了"无监督实践"水平的中位数.
结论:
- 行动准备工具为提高教育质量提供了一个透明的平台.
- 它为项目主管提供了对居民运营进步的洞察力.
- 这种工具可能有助于制定国家能力标准.
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