病理学实习课程中的逐步责任和基于能力的教育:关于自主性和监督的五年半纵向景观评估
Douglas C Miller1,2, Cindy McCloskey3,2, Gary Procop4,2
1Department of Pathology and Anatomical Sciences, University of Missouri School of Medicine, Columbia, MO, USA.
Academic pathology
|October 9, 2024
概括
病理学住院计划在居民自治方面有很大差异. 大多数课程在授予自主权之前并不衡量能力,这凸显了研究生医学教育需要改进的必要性.
科学领域:
- 医学教育 医学教育
- 病理学培训 病理学培训
背景情况:
- 病理学住院项目因居民自主权有限而面临批评.
- 研究生医学教育正在向基于能力的模式过渡,强调特定任务的自主性.
研究的目的:
- 评估目前在病理学培训中居民自主性的水平.
- 将当前的自治水平与2018年的数据进行比较.
- 在不同的病理学课程中识别自主性的变化.
主要方法:
- 对病理实习主任进行了调查,他们对常见任务的实习生自主权进行了调查.
- 将当前调查答案与2018年进行的类似调查进行了比较.
- 分析了29个响应的住院计划的数据.
主要成果:
- 在病理学课程之间,居民自主性存在显著差异.
- 一些计划提供了相当大的自主权,而另一些则提供了很少的自主权.
- 大多数计划在允许居民独立执行任务之前,不会正式测量能力.
结论:
- 病理学住院计划表现出广泛的住户自主权.
- 在授予任务自主性之前,普遍缺乏基于能力的评估.
- 限制性课程应该考虑采用其他机构中观察到的更宽容的方法.
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