一个"完全不同的野兽":时间变化的影响临床能力委员会决策
概括
基于能力的,时间可变的培训 (CBTVT) 使晋升决策更有后果. 这种转变增加了临床能力委员会 (CCC) 成员的感知风险,导致了更有意识的决策过程.
科学领域:
- 医学教育 医学教育
- 住院培训 培训 住院培训
- 项目评价 项目评价
背景情况:
- 基于能力的,时间可变的培训 (CBTVT) 将重点从持续时间转移到学习者成果.
- 临床能力委员会 (CCC) 是CBTVT的核心,他们做出促进决策.
- 时间变化的对CCC决策的影响需要进一步研究.
研究的目的:
- 探索时间变化如何影响CCC成员在内科住院计划中的决策.
- 了解时间变化的晋升决定对CCC会员的感知影响.
主要方法:
- 一个评价案例研究的过渡在内部医学教育利用信任分数综合 (TIMELESS) 试点计划.
- 与11个独特的CCC成员进行半结构化采访和观察.
- 从2020年10月到2022年3月的纵向数据收集.
主要成果:
- 时间的变化对CCC成员的决策产生了重大影响.
- 参与者认为,与晋升决策相关的风险更高.
- 感知风险的增加导致了更深思熟虑和更深入的决策过程.
结论:
- 时间变化改变了CCC成员对决策的看法,增加了感知到的风险和风险.
- 这种感知转变导致了CCC成员更深思熟虑的审查和积极的决策.
- 时间计划涉及后续的委托决策,与许多基于时间的计划不同.
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