更具体的反:为什么对反的"信心"太模糊了
Maxwell Uetz1, Sonia Ananthakrishnan2, Asher Tulsky3
1Internal Medicine Residency Program, Department of Medicine, Boston Medical Center, 72 East Concord Street, Boston, MA 02118.
Postgraduate medical journal
|November 16, 2023
概括
医学教育中的反应该是可操作和具体的,而不是基于"信心". 这种主观反可能会带来偏见和情感伤害,促使人们呼吁暂停使用. 教师应该把重点放在可观察的行为上.
科学领域:
- 医学教育 医学教育
- 医疗保健专业发展
- 临床技能评估 临床技能评估
背景情况:
- 高质量的反对于学员发展至关重要.
- 当前的反实践可能包括主观的元素,如"信心".
- 基于"信心"的反对学习和潜在偏见的影响尚未得到充分理解.
研究的目的:
- 评估在医学教育中使用"信心"的实用性和潜在危害.
- 倡导转向更客观和可操作的反方法.
- 建议暂停基于"信心"的反,等待进一步的研究.
主要方法:
- 对反原则进行定性分析.
- 在主观反中讨论潜在的偏见 (性别,文化).
- 对医疗培训中反现有文献的审查.
主要成果:
- "信心"缺乏具体性和可行的改善步骤.
- 基于"信心"的反可能导致主观判断和潜在的偏见.
- 对学员的情感伤害是这种反类型的一个担忧.
结论:
- "信心"是医学教育中反的不合适指标.
- 建议暂停基于"信心"的反.
- 焦点应该转向具体的,可观察的和行为反,以实现有效的学习.
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