内部医学实习主任如何使用可信任的专业活动:一项全国调查研究
Katherine A Gielissen1, Anna Foust2, Amy R Weinstein3
1Emory University School of Medicine, Atlanta, GA, USA. kgielis@emory.edu.
Journal of general internal medicine
|August 15, 2024
概括
值得信赖的专业活动 (EPA) 在美国内科医生实习中广泛用于评估. 然而,它们的实施与医疗教育中的有效性改善措施没有相关性.
科学领域:
- 医学教育 医学教育
- 医学培训中的评估.
- 内部医学 职员 实习 内部医学 职员
背景情况:
- 美国内科 (IM) 职务人员中可信任的专业活动 (EPA) 的普及和实施情况尚不清楚.
- 环境保护协议是评估临床环境中学习者表现的框架.
- 了解当前的EPA采用对于课程开发至关重要.
研究的目的:
- 为了确定EPA在美国IM职员的使用率.
- 描述EPA如何用于学习者评估.
- 确定与EPA使用相关的共同框架和评估策略.
主要方法:
- 美国医学院140名IM职员班主任的横截面调查.
- 收集关于EPA采用,分级,评估支持和有效性的数据.
- 对关键发现的响应率和统计学意义的分析.
主要成果:
- 47%的IM职员报告使用EPA,在1977年以后获得认证的学校中采用率更高.
- 美国医学院协会的入住医生核心环保协议 (CEPAER) 是最常见的框架 (55%).
- 56%的用户使用EPA进行形成性和总结性评估,48%的用户使用EPA进行分级.
结论:
- 在IM职务中,EPA被大量采用,并用于评估.
- 环保署的实施似乎与加强确保评估有效性的努力无关.
- 需要进一步的研究来提高基于EPA的评估的有效性.
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