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在ENTRUST评估平台上的表现与基于能力的外科教育中的其他变量之间的相关性

Lye-Yeng Wong¹, Nathan Lam², Yewon Ashley Son³

¹Department of Cardiothoracic Surgery, Stanford University School of Medicine, Palo Alto, California 94305.

Journal of surgical education

|November 12, 2024

概括

ENTRUST评估平台与外科住院医生的绩效指标有很强的相关性,包括病例日志和里程碑评估. 这种虚拟患者模拟工具增强了对外科培训和委托准备的客观评估.

科学领域:

医学教育医学教育
进行外科手术培训.
基于能力的教育基于能力的教育

背景情况:

美国外科学会 (ABS) 可信的专业活动 (EPAs) 需要客观的评估工具.
该ENTRUST评估平台提供虚拟患者模拟手术决策.
需要有效性证据来支持ENTRUST平台在基于能力的外科教育中的作用.

研究的目的:

为ENTRUST评估平台收集有效性证据.
评估ENTRUST分数与已建立的外科教育变量之间的相关性.
确定平台在告知准备委托时的实用性.

主要方法:

在ENTRUST右下象限 (RLQ) 疼痛/尾炎EPA评估中对整体外科住院医生的表现进行前性分析.
对ENTRUST分数与PGY水平,ACGME病例日志,ACGME外科里程碑和ABSITE分数之间的相关性分析.
在高等学术中心利用斯皮尔曼等级相关性进行双变量分析.

主要成果:

ENTRUST分数与PGY水平 (rho=0.57),ACGME尾切除病例日志 (rho=0.55) 和ABSITE分数 (rho=0.66) 有正相关.
在ENTRUST表现和所有18个ACGME手术里程碑之间发现了显著的相关性 (rho=0.43-0.54).
观察到与PC1 (患者评估和决策) (rho=0.54) 最强的相关性.

结论:

ENTRUST平台的性能与关键的外科手术培训指标显著一致.
这项研究为ENTRUST作为客观评估工具提供了进一步的有效证据.
值得信赖的评估平台可以补充微观评估,并支持基于能力的医学教育.

关键词:

评估评估的方法在临床决策过程中.基于能力的医学教育.可信任的专业活动研究生医学教育的研究生.患者模拟患者模拟

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