专业化在居住培训中的专业性:专业化的学习环境调查
Anna Byszewski1,2, Alexander Pearson2, Heather Lochnan1,2
1Department of Medicine, The Ottawa Hospital, Canada.
Evaluation & the health professions
|September 28, 2024
概括
专业化的学习环境 (LEP) 调查有效地追踪了医疗专业性的时间. 虽然积极的行为有所改善,但发现了基于个人特征的不公平患者治疗的令人担忧的趋势.
科学领域:
- 医学教育 医学教育
- 专业性评估 专业性评估
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 专业精神对于医疗培训至关重要,需要可靠的评估工具.
- 现有的工具可能无法充分捕捉学习环境 (LE) 的细微差别.
研究的目的:
- 评估专业化学习环境 (LEP) 调查的可行性和实用性,以进行纵向监测.
- 在培训计划和机构内确定医疗专业主义的优势和弱点.
主要方法:
- 在2013年至2020年期间,LEP调查在四家医院的七个培训计划中反复进行.
- 总共有3783个评级被纵向分析,使用一变线性回归与邦费罗尼校正 (p≤.0045).
主要成果:
- 积极的专业行为表明了随着时间的推移的一致趋势.
- 一些负面的专业主义行为显示出改善.
- 一种令人担忧的模式出现了,那就是医生根据财务状况,种族,性或宗教偏好对患者的不公平待遇.
结论:
- 对LEP调查的纵向应用在各种医疗培训环境中是可行的.
- 在LEP调查可以确定需要注意的领域,并承认模范的专业精神.
- 对学习环境的持续监测是认证要求的有价值的质量改进指标.
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