在研究生培训第一年使用ACGME协调里程碑的学习者表现的变化
概括
研究生医学培训评估的变化存在于各个专业,住院计划和实习生中. 协调里程碑2.0数据揭示了专业差异,强调了需要统一的评估方法.
科学领域:
- 医学教育 医学教育
- 研究生医学培训研究生医学培训
- 基于能力的评估.
背景情况:
- 研究生医学教育认证委员会 (ACGME) 里程碑系统对于美国研究生医学培训的形成性评估至关重要.
- 里程碑2.0引入了跨专业的协调里程碑 (HM),以标准化能力领域评估.
- 了解这些评估中的变化是提高培训和居民准备度的关键.
研究的目的:
- 使用里程碑2.0.0. 检查导致研究生第一年 (PGY-1) 学习者评估变化的因素.
- 分析不同专业和培训水平之间协调里程碑 (HM) 绩效差异的来源.
主要方法:
- 美国6个主要专业的PGY-1居民国家ACGME HM数据的回顾性分析 (2021-2022年7月).
- 差异组件分析使用交叉分类的随机效应模型来评估学习者,课程,医学院和专业的贡献.
- 调查评级实践,包括"直线" (一致的评级).
主要成果:
- 在HM能力领域中,专业占最大差异 (22%) .
- 在专业内,实习生 (22%),实习生计划 (35%) 和医学院 (2%) 贡献了差异.
- 直线发生在12%的住院人员中,最显著的是在手术中 (38%).
结论:
- 医疗管理表现在各专业之间存在显著的变化,受到课程和学员的影响,而医学院的影响较小.
- 跨专业的差异需要教育工作者,研究人员和认证机构之间共同的心理模型.
- 提高里程碑的评估实力对于准备居民应对医疗需求至关重要.
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