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对外科住院医生的可信任专业活动的多学科评估
S Jung1,2, C C Stahl1, A A Rosser1
1Department of Surgery, University of Wisconsin, Madison, WI USA.
概括
紧急医疗和外科教师通过可信任的专业活动 (EPA) 对住户表现提供不同的反. 利用多样化的评估来源确保对医疗学员进行全面的评估.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 紧急医疗 紧急医疗
背景情况:
- 医疗实践是跨学科的,但培训和评估往往发生在孤立的部门孤岛.
- 可信任的专业活动 (EPA) 为医学教育中的多学科评估提供了一个框架.
- 美国外科委员会颁发的两项具体的EPA促进了跨学科评估的研究.
研究的目的:
- 分析两个多学科EPA教师反的差异.
- 为了比较外科和急诊医学学院提供的评估内容.
- 调查自然语言处理 (NLP) 在分析定性反中的实用性.
主要方法:
- 从外科和急诊医学学院收集了549个EPA微评估 (2018年7月 - 2020年5月).
- 采用自然语言处理 (NLP) 技术,包括自动化算法和主题建模 (隐性迪里克莱特分配),以分析反.
- 使用总结性内容分析和正则表达式来识别和编码文本反中的主题.
主要成果:
- 紧急医疗学院比外科学院更有可能提供关于沟通,行为和及时性 (p <0.01) 的反.
- 与临床表现,技能水平或改进领域相关的反中没有发现显著差异.
- 主题建模揭示了不同的重点领域:EM教师强调沟通和人际交往技能,而外科教师专注于信息收集和诊断.
结论:
- 紧急医疗和外科学院关于居民EPA提供的反内容存在显著差异.
- 自然语言处理 (NLP) 有效地识别了这些在定性评估数据中的差异.
- 纳入来自多个学科的评估对于全面的居民评估和避免评估差距至关重要.
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