目前在紧急医学的EPA评估中使用模拟
Nidhi Sahi1, Susan Humphrey-Murto2,3, Erin E Brennan4
1Department of Innovation in Medical Education (DIME), University of Ottawa, Ottawa, ON, Canada. nidhi.sahi@gmail.com.
CJEM
|February 19, 2024
概括
在加拿大紧急医疗计划中,模拟被广泛支持用于评估可信的专业活动 (EPA). 然而,物流障碍和真实性问题等挑战需要仔细考虑,以便在基于能力的医学教育中进行最佳使用.
科学领域:
- 医学教育 医学教育
- 基于能力的医学教育 (CBME)
- 基于模拟的学习
背景情况:
- 加拿大皇家学院的紧急医疗课程大约五年前采用了基于能力的医学教育 (CBME).
- 可信任的专业活动 (EPA) 是CBME的组成部分,用于评估学员能力.
- 模拟越来越多地与临床环境一起用于EPA评估.
研究的目的:
- 描述目前在加拿大紧急医疗住院课程中用于评估可信的专业活动 (EPA) 的模拟使用情况.
- 确定与实施EPA评估模拟相关的主题和挑战.
主要方法:
- 一项全国性的采访研究与来自加拿大皇家学院所有紧急医疗计划的项目主任和助理项目主任进行了采访.
- 采访以共同开发的指南为指导,记录,转录和主题分析.
- 获得了64.7%的响应率,主题分析揭示了对EPA评估模拟使用的关键见解.
主要成果:
- 在EPA评估中使用模拟存在广泛支持,具有公认的好处.
- 发现的关键主题包括对"选框"方法的担忧,后勤障碍和对真实性的不同看法.
- 还强调了对学习者心理安全的潜在影响,并提出了优化模拟使用的建议.
结论:
- 模拟是EPA在紧急医疗评估中的一个有价值的工具,但它的实施需要仔细规划.
- 解决确定的主题和挑战对于最大限度地提高基于模拟的EPA评估的有效性和真实性至关重要.
- 结果为其他医学专业提供指导,考虑在CBME框架内对EPA评估进行模拟.
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