紧急医疗里程碑 最终评分往往是低于标准的
Diane L Gorgas1, Kevin B Joldersma2, Felix K Ankel3
1Ohio State University Wexner Medical Center, Department of Emergency Medicine, Columbus, Ohio.
The western journal of emergency medicine
|September 25, 2024
概括
大多数毕业的急救医生没有达到目标里程碑级别,其中38.8%缺少至少一个能力. 近10%的学生未能达到预期毕业成绩的一半.
科学领域:
- 医学教育 医学教育
- 研究生医学教育研究生医学教育
- 医生能力评估医生能力评估
背景情况:
- 紧急医疗 (EM) 里程碑定义了子能力内的客观行为.
- 里程碑评级范围从1.0 (入境居民) 到4.0 (毕业居民的目标).
- 本研究评估了毕业的EM居民中目标里程碑评级的实现率.
研究的目的:
- 为了确定毕业的EM居民达到目标里程碑评级的频率.
- 分析在课程结束时符合或不符合预期能力水平的居民比例.
主要方法:
- 从2022年4月至6月的里程碑次级能力评级的回顾性,横截面分析.
- 数据包括最后一年的EM居民.
- 评级分为两类:≥3.5 (达到预期水平) 与≤3.0 (不达到预期水平).
主要成果:
- 61.2%的毕业生在所有子能力上取得了≥3.5的评分.
- 38.8%的居民未能在至少一个子能力方面达到目标评级.
- 4.0%的居民在任何次要能力上都没有达到目标评级;9.5%在一半方面失败.
结论:
- 毕业的EM居民中有很大一部分不符合目标里程碑评级.
- 使用3.5的门值,只有61.2%的医生达到预期的毕业能力水平.
- 这些发现突出了EM居住计划中课程或评估改进的潜在领域.
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