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评估在外科住院计划中可信任的专业活动的叙述反的质量

Rosephine Del Fernandes¹, Ingrid de Vries², Laura McEwen^3,4

¹The School of Medicine, Queen's University, Kingston, ON, Canada.

Annals of surgery

|April 25, 2024

概括

外科住院医生的反质量仍然相当,超过一半的评估缺乏改进建议. 在五年以能力为基础的医学教育中,叙述反的质量没有得到改善.

科学领域:

医学教育医学教育
进行外科手术培训.
基于能力的医学教育

背景情况:

基于能力的医学教育 (CBME) 需要持续的形成性评估和反.
有效的反对于外科住院医生的发展和绩效提高至关重要.

研究的目的:

评估提供给外科 residents 的叙事反的质量.
评估CBME实施的前五年反质量的变化.

主要方法:

对3900个可委托专业活动 (EPA) 评估 (2017-2022) 的回顾性横截面研究.
使用学习评价质量得分 (0-5) 对叙事反质量的独立审查.

主要成果:

57%的EPA评估包括叙事反 (平均得分为2.16±1.49).
72.4%提供了绩效证据,42.7%提供了改进建议,但只有22.4%将建议与证据联系起来.
反质量在五年内没有显著改善,并且因评估者的角色和评估时间而异.

结论:

在外科住院的叙述反质量是公平的,有很大的改进空间.
随着时间的推移,缺乏改善凸显了有针对性的教师发展和修订反策略的需要.
需要进一步的研究来提高CBME的反效率.

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