在外科手术中可信任的专业活动:一篇评论
Kelsey B Montgomery1, John D Mellinger2, Brenessa Lindeman1
1Department of Surgery, University of Alabama at Birmingham.
JAMA surgery
|March 13, 2024
概括
可信任的专业活动 (EPA) 是基于能力的教育 (CBE) 在整体外科住院的关键部分. 本综述讨论了它们的理由,证据和实际实施,以改善居民评估.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 基于能力的教育 基于能力的教育
背景情况:
- 可信任的专业活动 (EPA) 是基于工作场所的评估,重点关注观察到的行为.
- 医学专业越来越多地采用EPA来评估学员能力.
- 本文重点介绍一般外科住院计划中的EPA.
研究的目的:
- 审查使用EPA在整体外科手术中的理由.
- 描述支持EPA实施的证据.
- 概述一般外科住院中EPAs的实际考虑.
主要方法:
- 在一般外科手术中对EPA的文献进行叙述性审查.
- 分析有效性证据和实施建议.
- 确定EPA整合的挑战和最佳实践.
主要成果:
- 越来越多的证据支持EPA在一般外科手术中的有效性和实用性.
- 挑战包括教师和居民参与微评估和反.
- 成功的整合提供了对居民能力的更准确的评估.
结论:
- 在基于能力的教育中,EPA代表了评估普通外科住院医生的重大进步.
- 解决实施挑战对于成功和可持续的EPA采用至关重要.
- 对障碍和促进因素的进一步研究将优化这一评估框架.
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