临床能力委员会对可信任的专业活动的决策信心
Kelsey B Montgomery1, John D Mellinger2,3, M Chandler McLeod1
1Department of Surgery, University of Alabama at Birmingham.
JAMA surgery
|May 8, 2024
概括
临床能力委员会 (CCC) 报告说,随着EPA微评估数量的增加,对委托决策的信心更高. 这支持了新的基于能力的外科住院医生的评估框架的有效性.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 基于能力的评估.
背景情况:
- 美国外科手术委员会支持使用可信任的专业活动 (EPA) 的基于能力的评估框架.
- 一项为期两年的可行性试点研究涉及临床能力委员会 (CCCs) 对EPA委托的外科住院医生进行评级.
- 影响CCC决策的因素 对于这些委托决定的信心仍然是未知的.
研究的目的:
- 确定与CCC决策信心的变化相关的因素.
- 评估一般外科住院计划中EPAs对总体委托决策的信心水平.
主要方法:
- 一项队列研究分析了来自EPA试点研究 (2018-2020) 在28个整体外科住院计划中的非识别数据.
- 数据包括半年EPA微评估和CCC总结信托评级.
- 双变量测试和混合效应回归建模评估了与CCC信心相关的因素.
主要成果:
- 在1765个总体委托决策中,72.5%是以中等或高的CCC信心做出的.
- 随着获得的EPA微观评估数量的增加,信任度的评级显著增加.
- 每个额外的微观评估都与更高CCC信心的可能性增加有关,在不同的EPA阶段有所变化.
结论:
- 中央公关对EPA委托总结性决定的信心与可用的微观评估的数量呈正相关.
- 这些发现为EPA框架在外科教育中的初步有效性提供了证据.
- 这项研究可以指导EPA在全国居民计划中的实施.
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