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心声学解释培训和内科里程碑:一个试点研究

Li-Tan Yang¹, Meng-Han Tsai², Wang-Huei Sheng²

¹Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan; Telehealth Center, National Taiwan University Hospital, Taipei, Taiwan.

Journal of the Formosan Medical Association = Taiwan yi zhi

|January 7, 2025

概括

一个心声回声学课程有效地提高了初级医生的内部医学里程碑 (IMM) 成绩,证明了基于能力的培训的价值. 课程结束后得分明显改善,并在临床实践期间继续上升.

科学领域:

医学教育医学教育
心血管成像 - 心血管成像
医生能力评估医生能力评估

背景情况:

内部医学里程碑 (IMM) 框架通过六个核心领域评估医生能力.
一项试点研究将IMM原则应用于初级医生的心声回声学报告解释课程中.
目标是提高心血管训练期间对能力发展的理解和跟踪.

研究的目的:

为了评估心声回声学解释课程在内部医学里程碑 (IMM) 评分上的有效性.
评估基于能力的培训对研究生年 (PGY) 和住院 (R) 医生的影响.
为未来的内部医学能力评估课程开发提供一个模型.

主要方法:

一个单一中心的前性研究从2022年8月到2023年12月.
对193名初级医生收集了课程前和课程后的测试分数和基线IMM分数.
课程后3个月和6个月进行了后续IMM评估.

主要成果:

与课程前的分数相比,课程后的分数显著改善 (4.3 ± 1.3 与 2.9 ± 1.3 相比,P < 0.001).
IMM评分从基线增加到3个月 (7.2±1.3比5.8±1.2,P<0.001),然后平稳.
根据性别或医生等级,没有观察到分数的显著差异.

结论:

心声回声学课程有效地提高了医生能力评估成绩.
基于能力的培训对初级医生在临床实践中的技能发展产生了积极的影响.
研究结果支持将IMM原则纳入内科住院课程.

关键词:

临床教育临床教育能力能力能力能力能力心声回声扫描 (Echocardiography) 是一种心声回声扫描.内部医学里程碑式的里程碑式的里程碑式的里程碑式自我评估自我评估

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