内部医学实习计划中的新型培训评估报告:提高叙述评估质量
Marc Gutierrez1, Kelsey Wilson1, Brant Bickford1
1Internal Medicine Program, Affiliated with Wright Patterson AFB and Wright State University, Wright-Patterson AFB, OH, USA.
Journal of medical education and curricular development
|October 12, 2023
概括
实施一个新的在培训中的评估报告 (ITER),包括居民学习目标,显著提高了叙事评估的质量. 这一变化增强了医疗住院人员的评估反.
科学领域:
- 医学教育研究 医学教育研究
- 改善医疗保健质量 改善医疗保健质量
- 居民评估评估的居民.
背景情况:
- 高质量的叙事评估对于居民发展至关重要.
- 目前的评估方法可能缺乏足够的细节或居民参与.
- 培训评估报告 (ITER) 是为了解决这些局限性而开发的.
研究的目的:
- 评估一种新型ITER的影响,包括居民学习目标对叙事评估质量的影响.
- 通过叙述性评估质量工具 (NEQI) 来衡量评估质量的变化.
主要方法:
- 从2017-2021年对1468个叙事评估进行了回顾性分析.
- 预干预 (电子) 和干预后 (纸质) 评估表格的比较.
- 两名独立研究人员使用NEQI尺度对评论进行评分.
主要成果:
- 平均NEQI得分从2.43 (干预前) 增加到3.31 (干预后),这是统计学上显著的改善 (p < 0.001).
- 没有叙事评论提交的评估率从46%降至1%.
- 通过0.92.9的类内相关系数 (ICC) 证实了高级别之间的可靠性.
结论:
- 将居民识别的学习目标纳入纸质ITER提高了叙事评估质量.
- 转向以纸张为基础,手动交付的格式,促进了学习目标的纳入.
- 这种干预提供了一种改善医疗住院反的实际策略.
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