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基于能力的心脏病学培训:一种简单的方法来改善监督人员完成可信任的专业活动

Whitney Faiella¹, Sandila Navjot², Sarah Ramer¹

¹Queen Elizabeth II Health Sciences Centre, Division of Cardiology, Dalhousie University, Halifax, Nova Scotia, Canada.

|November 11, 2024

概括

一项简单的干预措施通过减少过期的可委托专业活动 (EPA) 和完成时间,改善了心脏病学实习培训. 这支持在医学教育中向设计能力 (CBD) 的过渡.

科学领域:

医学教育医学教育
心脏病学培训心脏病学培训
基于能力的医学教育

背景情况:

成人心脏病学实习课程于2021年7月过渡到设计能力 (CBD).
在CBD的挑战包括不一致的员工参与和可变的反时间表.
该项目旨在改善可委托专业活动 (EPA) 的到期率和完成时间表.

研究的目的:

实施一项干预措施,以提高心脏病住院的EPA完成率和时间表.
为应对与设计能力 (CBD) 框架相关的挑战.

主要方法:

2020年7月至2023年2月在达尔豪西大学的心脏病学住院医生的经过审查的EPA.
干预涉及绩效审查 (大轮介绍) 和监管人员的个性化数据集.
测量结果包括每个居民月完成的EPA,完成的时间和过期EPA的百分比.

主要成果:

在干预后12个月,过期的EPA从35.0%降至21.5% (P=0.03).
完成EPA的时间从7.3日减少到5.0天 (P<0.001).
每个居民月完成的EPA从3.10增加到4.29 (P<0.001),其中71.5%在48小时内完成 (P=0.004).

结论:

绩效审查和个性化数据对EPA的到期率和完成时间表产生了积极的影响.
这项干预措施促进了心脏病医生住院的设计能力 (CBD) 过渡.
这一战略提高了EPA的整体完成率和及时性.

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