一个多方法的方法来起草候选人可信任的专业活动为一般内科住院计划的设计
Matteo Monti1,2, Valérie Pittet3, Sonia Frick4,5
1Division of Internal Medicine, Lausanne University Hospital, Lausanne, Switzerland.
Swiss medical weekly
|May 27, 2024
概括
通过多步骤的方法,成功地开发了225个适当的可信任的专业活动 (EPA),用于瑞士的一般内科研究生培训. 这种详细的方法可以指导基于能力的医学教育计划的未来发展.
科学领域:
- 医学教育 医学教育
- 基于能力的医学教育
- 内部医学培训培训 内部医学培训
背景情况:
- 值得信赖的专业活动 (EPA) 是现代研究生医学培训的关键组成部分,代表学员必须掌握的日常临床任务.
- 为国家培训计划制定全面的EPA框架需要一个强大的方法和对该概念的深刻理解.
- 国际上一般内科 (GIM) 培训计划越来越多地采用EPAs.
研究的目的:
- 描述多步骤过程的方法和结果,以创建瑞士GIM研究生培训候选环保署名单.
- 建立一个有效的EPA列表,适合GIM居住计划.
主要方法:
- 进行了系统的文献审查,以确定现有的EPA.
- 四个国家重点小组让利益相关者参与收集意见.
- 采用RAND适当性方法和EQual标准的国家共识流程进行验证.
主要成果:
- 创建了247个候选EPA的GIM清单,并提交给共识.
- 经过两轮专家评级,225个EPA被认为适合GIM研究生培训.
- 只有22个EPA被认为是不合适的,只有两个问题存在持续的分歧.
结论:
- 本研究介绍了瑞士GIM研究生培训的经过验证,全面的EPA清单.
- 详细的方法提供了一个可转移的模型,用于开发或修订其他医疗专业或国家的EPA列表.
- 这些发现支持将EPA纳入基于能力的医学教育框架,以加强医生培训.
相关概念视频
Methods of Documentation II: POMR
939
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
939
Methods of Documentation III: PIE
1.4K
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
1.4K
Data Collection III
2.7K
The physical assessment examines the patient for objective data that defines the patient's condition, and aids in formulating the nursing care plan. The purpose of physical assessment is a health status appraisal, which includes identifying health problems, and establishing a database for nursing intervention.
The principles to begin the physical assessment include conducting a comprehensive or problem-related history in a quiet, well-lit room, emphasizing privacy and comfort for the...
The principles to begin the physical assessment include conducting a comprehensive or problem-related history in a quiet, well-lit room, emphasizing privacy and comfort for the...
2.7K
Methods of Documentation VII: EMR
831
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
831
Methods of Documentation VI: Case Management Model
569
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
569
Methods of Documentation V: CBE
895
Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
895


