文件中没有:能力委员会如何处理未经记录的贡献
Anneke van Enk1, Graham MacDonald2, Rose Hatala3
1Centre for Health Education Scholarship, University of British Columbia, Vancouver, BC, Canada.
Medical education
|June 20, 2024
概括
在能力委员会 (CCs) 中的未经记录的贡献支持,而不是取代正式的文档. 这些非正式的见解,特别是在不那么程序化的专业领域,通过将实习生绩效数据置于背景下来,有助于决策.
科学领域:
- 医学教育 医学教育
- 定性研究是指质量研究.
- 社会实践理论社会实践理论
背景情况:
- 能力委员会 (CCs) 依赖于受训人员记录的绩效.
- 未经记录的贡献 (非正式的,未记录的数据) 可能会影响CC的决策.
- 了解无证件捐款的作用对于有效的学员评估至关重要.
研究的目的:
- 检查CC在研究生培训中使用未经证明的贡献.
- 在绩效评估中,探索非正式数据如何与正式文档相互作用.
- 为了比较在更多程序性与少程序性医疗专业中使用未经记录的贡献.
主要方法:
- 定性多个案例研究设计.
- 对CC会议的观察和与CC成员的半结构面试.
- 对对话的分析分为领导,未经记录的贡献和后续,并对未经记录的贡献进行了粗略的描述.
主要成果:
- 无证件捐款并没有取代或取代正式文件.
- 较少程序化的 (LP) CC使用了更多的未经记录的贡献 (22个实例),而不是更程序化的 (MP) CC (6个实例).
- 不同的CC方向 (咨询/指导与评估专注) 和专业经验影响了使用和解释未经记录的贡献,通常是由文档缺口或差异引起的.
结论:
- 无证件捐款往往支持在可用文档中建立决策的努力.
- 鼓励在CC实践和政策中对文档的细微方法.
- 对具体案例的进一步分析说明了未经记录的贡献的上下文意义.
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