紧急医学的基础:标准化,开放式,核心内容课程对培训中的考试成绩的影响
Jaime Jordan1, Natasha Wheaton1, Nicholas D Hartman2
1University of California Los Angeles, David Geffen School of Medicine, Department of Emergency Medicine, Los Angeles, California.
The western journal of emergency medicine
|April 10, 2024
概括
紧急医疗基础 (Foundations of Emergency Medicine,FoEM) 课程,特别是基础I (F1) 课程,没有显著影响第一年住院人员的培训内考试 (ITE) 成绩. 这一发现即使考虑了先前的医疗执照考试成绩,也是如此.
科学领域:
- 医学教育 医学教育
- 紧急医疗培训培训 紧急医疗培训
- 居民评估的评估.
背景情况:
- 通过交互式,小组的基于案例的教学来增强学习者参与度,而不是通过被动方法.
- 紧急医疗基础 (Foundations of Emergency Medicine,FoEM) 课程,包括基础I (F1) 课程,利用这些当代教学技术为第一年居民 (PGY-1).
- 美国紧急医疗委员会的培训考试 (ITE) 每年评估紧急医疗 (EM) 特定的医学知识.
研究的目的:
- 评估实施F1课程对PGY-1居民在EM培训考试 (ITE) 的表现的影响.
主要方法:
- 追溯分析了180名PGY-1居民在四个地理上多样化的ACGME认可的EM居住计划中的数据.
- 收集的数据包括ITE分数,USMLE第一步和第二步CK分数以及性别,比较F1实施前两年 (控制) 和 (干预) 后两年 (2015-2018).
- 进行了单变量和多变量线性回归分析,以评估F1实施和ITE分数之间的关系,控制USMLE分数.
主要成果:
- 在单变量分析中,USMLE第一步和第二步的CK分数是ITE表现的重要预测指标 (P < 0.001).
- 在控制USMLE第一步和第二步CK分数后,发现F1课程的实施不是ITE分数的重要预测因素 (P = 0.83).
结论:
- 基础I (F1) 紧急医疗课程的实施并没有对住院人员在培训中考试 (ITE) 的表现产生显著影响.
- 控制基线知识,如USMLE第一步和第二步CK得分所示,在评估课程有效性时至关重要.
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