在加拿大的精神病医疗住院计划中实施结构化反:一种定性分析研究
Anupam Thakur1,2, Shaheen Darani1,2, Csilla Kalocsai2,3
1Centre for Addiction and Mental Health, Toronto, ON, Canada.
Frontiers in psychiatry
|December 11, 2023
概括
R2C2反模型有助于基于能力的医学教育 (CBME) 的发展. 其实施的关键促进因素包括结构化培训,自我效能和组织准备,这对于有效的反提供至关重要.
科学领域:
- 医学教育 医学教育
- 精神病学住院培训 精神病学住院培训
- 实施科学 实施科学
背景情况:
- 结构化的反对于学习者在基于能力的医学教育 (CBME) 中的进步至关重要.
- R2C2反模型是基于证据的,但影响其实施的因素需要进一步研究.
- 这项试点研究考察了R2C2在精神病学CBME计划中的实施.
研究的目的:
- 描述R2C2反模型在精神病学实习计划中的实施.
- 使用实施研究综合框架 (CFIR) 确定影响R2C2模型实施的因素.
主要方法:
- 一项试点研究涉及三个阶段:规划,实施和评估.
- 15名监督员接受了培训,并与居民一起使用R2C2模型.
- 与10名监督员进行半结构面试,探索他们的经验,使用CFIR领域进行分析.
主要成果:
- 定性分析确定了四个关键主题:对R2C2的看法,实施方便者/障碍者,忠实性和交叉性.
- 在CFIR框架中,对实施因素的分析进行了结构化分析.
- 关键的促进因素包括模型的结构,监督者自我效能,教育专业知识,学习文化,组织准备以及培训支持.
结论:
- R2C2模型是CBME中结构化反的一个有价值的工具.
- 成功实施取决于模型结构,自我有效性,机构支持和培训等因素.
- 进一步的研究应该调查学习者的观点和模型忠诚度.
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