设计的双重目的:在一个纵向计划中探索居民和学术顾问的文件之间的协调
Shiphra Ginsburg1,2, Lynfa Stroud3,4, Ryan Brydges5,4,6
1Department of Medicine, Mount Sinai Hospital, Toronto, ON, Canada. shiphra.ginsburg@utoronto.ca.
概括
居民 居民 居民
科学领域:
- 医学教育 医学教育
- 基于能力的医学教育 (CBME)
背景情况:
- 在CBME中,纵向的学术咨询 (AA) 和指导对于居民对评估数据的反思至关重要.
- 形成性和总结性评估的双重目的居民反思文件带来了挑战.
研究的目的:
- 在CBME中分析两年来居民的自我反思和AA报告.
- 了解居民反射内容,与AA报告的调整,以及随时间的变化.
主要方法:
- 对109个居民自省和105个AA报告的诱导性主题分析,来自21个居民-AA二元组.
- 在两年内在内科住院计划中对书面评论的分析.
主要成果:
- 居民最初专注于自主和改进,转向可信任的专业活动 (EPA) 和考试等绩效指标.
- AAA更多地关注绩效指标,而居民的反思则逐渐与AAA的优先事项保持一致,为EPAs强调数量而不是学习.
- 在居民自我反思主题和AA报告内容之间观察到差异.
结论:
- 在CBME中,反思性文件的双重用途可能会模糊形成性和总结性的意图,可能会阻碍居民的增长.
- 在CBME项目中,需要对反射性文档利用和结构进行重新评估.
- 进一步的研究应该探索使用文档支持居民发展的最佳方法.
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