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一个渐进的责任 监督居民使用掌握学习原则的经验
Benjamin Schnapp1, Aaron Kraut1, Ciara Barclay-Buchannan1
1University of Wisconsin.
MedEdPublish (2016)
|December 13, 2023
概括
一个新的以掌握为基础的培训计划帮助PGY-3居民培养了独立运营急诊室 (ED) 的基本技能. 大多数居民取得了掌握,感觉更好地准备参加医生角色.
科学领域:
- 医学教育 医学教育
- 紧急医疗 紧急医疗
- 住院培训 培训 住院培训
背景情况:
- 对初级医生来说,监督住院人员和管理急诊室 (ED) 面临着独特的挑战.
- 传统的住院项目为这些高级职责提供有限的具体培训.
研究的目的:
- 为PGY-3居民开发和评估一种渐进的,以掌握学习为基础的监督经验.
- 为居民提供必要的技能,以独立管理ED.
主要方法:
- 在一个社区网站为PGY-3居民实施了4班制区块系统,模拟了出席职责.
- 他将掌握能力定义为在四个领域中获得23/24分:组织,领导/沟通,流动和患者护理.
- 允许居民满足掌握,以推进到更复杂的监督角色.
主要成果:
- 83% (10/12) 的PGY-3居民达到定义的掌握标准.
- 居民在领导力/沟通 (2.67/3) 中表现出色,但在流动 (2.41/3) 中得分最低.
- 90%的住户报告说,他们感到准备好在经验后承担医生责任.
结论:
- 掌握学习方法有效地促进了运行繁忙的ED所需技能的获取.
- 该计划在为居民准备独立实践方面显示出前景.
- 进一步的评估将评估长期的有效性,并收集教师/居民的反.
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