干预性肺病学的基于能力的医学教育:现状和未来的机会
Logan J Hostetter1, Darlene R Nelson
1Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Current opinion in pulmonary medicine
|November 8, 2024
概括
基于能力的医学教育 (CBME) 正通过标准化程序性技能评估来改变干预性肺病学培训. 这种从传统方法的转变通过基于结果的评估来确保一致的,高质量的患者护理.
科学领域:
- 医学教育 医学教育
- 肺部病理学 肺部病理学
- 程序技能培训 程序技能培训
背景情况:
- 传统的干预性肺病学培训依赖于学徒模式,结果不一致.
- 缺乏标准化的课程和评估工具导致实习生能力的变化.
研究的目的:
- 检查干预性肺病学的基于能力的医学教育 (CBME) 的演变和现状.
- 在这个不断变化的教育框架内,专注于程序技能评估和培训.
主要方法:
- 审查传统的学徒模式及其局限性.
- 分析基于能力的医学教育 (CBME) 原则和基于结果的评估.
- 评估各种程序技能评估工具 (例如全球评级表,检查清单,模拟).
- 讨论特定程序 (EBUS-TBNA,ENB,刚性支气管镜) 和他们的评估.
主要成果:
- CBME提供了一种标准化的方法,以确保学员获得必要的能力.
- 各种评估工具在技能获取和临床评估方面都显示出有效性.
- 标准化工具和可信任的专业活动 (EPA) 对于提高能力评估至关重要.
- 特定程序具有独特的学习曲线,需要定制的评估策略.
结论:
- 干预性肺病学正在从传统的学徒制过渡到CBME.
- 程序性技能评估方面的进步正在提高培训的有效性.
- 未来的方向包括人工智能反,解决低体积程序,改善基于工作场所的评估,以便更好地照顾患者.
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