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通过共识生成基于模拟的一般外科实习生的操作程序优先列表
Conor Toale1, Marie Morris1, Lars Konge2
1Department of Surgical Affairs, Royal College of Surgeons in Ireland, Dublin, Ireland.
Annals of surgery
|October 9, 2023
概括
这项研究使用了Delphi共识方法来确定基于模拟的高风险评估的必要外科手术程序. 这些优先级列表有助于为全科医生实习生制定有效的操作能力评估.
科学领域:
- 外科教育的外科教育
- 医疗模拟 医疗模拟
- 能力评估能力评估能力评估能力
背景情况:
- 基于能力的外科培训要求对操作能力进行有效的总结评估.
- 基于模拟的评估对于评估外科技能至关重要.
- 制定标准化的评估内容对于培训计划至关重要.
研究的目的:
- 建立对高风险的基于模拟的一般外科手术操作能力评估的适当内容的共识.
- 在关键的培训阶段创建优先级的外科手术程序列表进行评估.
主要方法:
- 在线Delphi共识研究,涉及30名外科培训师和5人指导小组.
- 程序是根据能力期望进行选择的,并根据重要性,风险,频率和模拟可行性进行评级.
- 修改后的需求评估公式被应用到排名程序中,随后参与者重新确定优先级.
主要成果:
- 为两个关键的培训阶段创建了优先级的程序列表:"第二阶段"的结束和培训结束认证 ("第三阶段").
- 共有21种程序被确定为适合"第二阶段"评估.
- 总共有16种程序被确定为适合进行"第三阶段"评估.
结论:
- 使用Delphi共识的国家需求评估方法有效生成了基于模拟的一般外科手术操作能力评估的内容.
- 优先级程序列表可以为培训人员的进步,委托和认证制定高风险评估提供信息.
- 建议对开发的操作技能评估进行进一步的有效性测试.
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