基于移动的评估可信任的专业活动在泌尿器科培训:实施和结果
Fabian J Aschwanden1, Luca Afferi1, Lukas Kandler2
1University of Lucerne Lucerne Switzerland.
European urology open science
|March 10, 2025
概括
一个智能手机应用程序使用可信任的专业活动 (EPA) 改善了泌尿病住院的反和进度跟踪. 该工具有效地评估了程序技能,但需要加强非程序能力.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 数字健康数字健康
背景情况:
- 泌尿外科住院计划往往缺乏结构化的反和进度监测.
- 基于能力的医学教育 (CBME) 与可信任的专业活动 (EPA) 提供了一个框架,但面临着实施障碍.
- 智能手机应用程序有可能简化EPA评估和反交付.
研究的目的:
- 实施和评估一个智能手机应用程序,用于实时EPA评估在泌尿病住院.
- 评估移动工具在增强居民反和进度跟踪方面的可行性和有效性.
- 分析居民和监管机构之间关于EPA复杂性和监管水平的协议.
主要方法:
- 一个移动应用程序被部署到瑞士机构的13名泌尿科医生和10名监督员.
- 在7个月内记录了246次EPA评估,完成率为86%.
- 描述性统计和科恩的 κ/弗莱斯的 κ指标被用来分析评估数据和评审者之间的协议.
主要成果:
- 该应用程序促进了214个EPA评估,主要是程序 (92%).
- 对于任务复杂性 (κ=0.56) 和监督水平 (κ=0.55) 发现了适度的协议.
- 对于被认为有能力监督他人的学员来说,观察到更高的协议 (κ=0.71),尽管样本大小的限制和专注于程序性EPAs.
结论:
- 一个移动应用程序可以有效地支持尿道学培训中的实时EPA评估,促进反和进度监测.
- 该工具在跟踪程序能力方面表现有前途,但需要调整以更好地捕捉非程序技能.
- 未来的发展应该强调非程序性EPA,以提供对居民发展的更全面的评估.
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