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计划-做-研究-行为 (PDSA):一种代方法,以优化住院人员在美国手术委员会在培训考试 (ABSITE) 的表现
Saad Shebrain1, Caitlyn Cookenmaster1, Mahmoud Ajine1
1Department of Surgery, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI.
Journal of surgical education
|July 16, 2024
概括
与SCORE课程一起实施计划-做-学习-行动 (PDSA) 方法显著改善了外科住院医生的美国外科委员会培训考试 (ABSITE) 成绩. 这种方法降低了得分低于30个百分点的居民比例.
科学领域:
- 外科教育的外科教育
- 医学评估 医学评估
背景情况:
- 对于外科住院医生来说,为美国外科医学会培训考试 (ABSITE) 进行有效的准备至关重要.
- 美国外科委员会 (ABS) 在2014年将ABSITE与SCORE®课程结合起来.
- 需要一个结构化的研究方法来提高居民的表现.
研究的目的:
- 评估计划-做-研究-行动 (PDSA) 方法对外科住院医生的ABSITE表现的影响.
- 为了确定PDSA方法是否与SCORE®课程相结合,可以改善ABSITE的结果.
- 评估在ABSITE上得分低于30个百分点的居民比例的变化.
主要方法:
- 一个20年的回顾性分析在一个机构的居民ABSITE业绩.
- 分析了三个时间框架:课程前,基于SCORE®的考试实施,以及与PDSA集成的SCORE®.
- 在模拟考试中得分低于60%的居民被鼓励使用PDSA周期进行有针对性的改进.
主要成果:
- 与非PDSA组 (r=0.62) 相比,在PDSA组 (r=0.73) 中模拟考试成绩和实际ABSITE表现之间观察到更强的相关性.
- 在ABSITE上得分低于30个百分点的居民的百分比显著下降,从14.0%降至3.7% (p=0.016).
- PDSA方法对居民业绩产生了显著的积极影响.
结论:
- 计划-做-学习-行动 (PDSA) 方法与SCORE®课程的整合显著提高了外科住院医生的ABSITE表现.
- 这种结构化,代的研究方法是为准备ABSITE的居民推的.
- 正如ABS所概述的那样,利用SCORE®内容是这种成功的学习策略的关键组成部分.
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