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使用并发症报告来评估居民的批判性思维和增强成人学习
Katie Carsky1, David Rindskopf2, Vihas M Patel3
1Lenox Hill Hospital, Northwell Health, New York, New York.
Journal of surgical education
|March 31, 2024
概括
一个新的报告系统量化了外科住院医生的批判性思维能力,显示了经验的改善. 这种工具有助于识别针对性发展的个人弱点和优势.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 评估外科住院医生的批判性思维是具有挑战性的.
- 传统的发病率和死亡率报告在评估分析技能方面存在局限性.
- 需要一种可量化的方法来跟踪在住院期间的认知发展.
研究的目的:
- 设计和实施一个符合HIPAA的系统来评估居民的批判性思维.
- 纵向评估外科住院医生的批判性思维能力的发展.
- 确定居民表现中的认知强度和弱点的特定领域.
主要方法:
- 开发了一个安全的电子平台,用于每周报告不良结果.
- 一般外科医生 (PGY 1-5) 在4年内批评了1932个外科病例.
- 使用标准化的批评算法,与教师审查和分级反.
主要成果:
- 居民在识别ACGME能力和Clavien-Dindo分数方面表现出色.
- 在记录数据以识别错误方面观察到显著的改善 (p < 0.00001).
- 高级居民在所有评估领域的表现始终优于初级居民.
结论:
- 一个电子批评算法有效地测量了居民的批判性思维能力.
- 反和逐渐增长的经验与提高绩效相关.
- 该系统允许对M&M会议进行个性化的评估和潜在的增强.
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