一个有针对性的临床推理补救计划,为居民和需要帮助的研究员
Andrew S Parsons1, Jessica J Dreicer2, James R Martindale3
1is Associate Professor, Department of Medicine and Public Health Sciences, and Director of Clinical Competency, University of Virginia School of Medicine, Charlottesville, Virginia, USA.
Journal of graduate medical education
|August 16, 2024
概括
一个新的有针对性的评估和指导计划帮助临床推理困难的住户和研究员. 这种个性化的方法,专注于特定的技能缺陷,如假设生成,在大多数情况下成功地提高了学员的表现.
科学领域:
- 医学教育 医学教育
- 认知科学 认知科学
背景情况:
- 缺乏标准化的临床推理补救过程.
- 需要针对有困难的实习生进行个性化干预.
研究的目的:
- 描述一种新的,有针对性的评估和指导过程,用于临床推理补救.
- 评估这个个性化干预计划的可行性和结果.
主要方法:
- 居民和研究生对表现有担忧,可以转交给COACH (通过帮助实现能力委员会).
- 由补救专家和临床推理教练进行评估.
- 制定个性化整治计划,并在干预后进行重新评估.
主要成果:
- 在114名被推的实习生中,有33% (38人) 患有临床推理缺陷.
- 最常见的赤字:产生假设 (42%).
- 87%的修复实习生 (38人中的33人) 在学术上处于良好地位.
结论:
- 描述的程序提供了一个可行的,有针对性的临床推理补救方法.
- 早期假设生成是经常出现的需要干预的困难领域.
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