由委托委员会或临床能力委员会对潜在的委托决策进行现实的综合
Daniel J Schumacher1, Catherine Michelson2, Ariel S Winn3
1Cincinnati Children's Hospital Medical Center/University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Medical education
|December 13, 2023
概括
预期委托决策 (PEDM) 很少是故意的,但它应该是. 了解影响这些决定的因素是改善学员评估和确保患者安全的关键.
科学领域:
- 医学教育 医学教育
- 医疗保健专业培训 医疗保健专业培训
- 评估和评价的评估和评估.
背景情况:
- 委托或临床能力委员会 (E/CCCs) 的前景委托决策 (PEDM) 对于确定实习生准备度至关重要.
- 影响这些关键决策的现实世界机制和因素仍然不太清楚.
- 现有的文献缺乏对构成有效PEDM的全面综合.
研究的目的:
- 进行现实的合成,以了解E/CCCs.的PEDM背后的机制.
- 识别什么是有效的,为谁,在什么情况下,为什么在做出可辩护的潜在委托决策 (PEDs) 时.
主要方法:
- 用一种现实主义的综合方法来分析已发表的文献.
- 搜索了四个数据库,选结果,并对相关论文进行了全文审查.
- 开发了上下文-机制-结果配置来理论化PEDM如何导致PEDs.
主要成果:
- PEDM经常是默认的 (非故意的),而不是一个故意的过程.
- 蓄意PEDM可以是费力或无费力,受数据充足度和实习生可信度的影响.
- 主持人包括感知到的风险,信任倾向,对学员的先前了解以及E/CCC结构.
结论:
- PEDM应该更有意识,实习生可信度数据是基本的.
- 偏见,公平和公平在PEDM的当前文献中表现不足.
- 未来的研究必须解决偏见,公平和公平在增强PEDM中的作用.
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