桥梁意图和结果:一个程序理论的方法,住所认证标准
Dana Tenne-Fishbain1, Yehuda L Danon2, Rachel Nissanholz-Gannot2,3
1Department of Health Systems Management, School of Health Sciences, Ariel University, Ariel, Israel. dfishbain@gmail.com.
BMC medical education
|July 2, 2025
概括
居民认证标准显示,在支持居民发展和毕业生能力方面存在差距. 建议侧重于更清晰的目标,明确的要求和利益相关者的协调,以提高医学教育质量.
科学领域:
- 医学教育 医学教育
- 改善医疗保健质量 改善医疗保健质量
- 认证系统的认证系统
背景情况:
- 认证显著影响医生培训和医疗保健提供.
- 住院认证面临着独特的挑战,特别是随着对基于能力的教育的转变.
- 由于国际认可倡议,对住院认证的系统评估是及时的.
研究的目的:
- 评估以色列居留认证标准的清晰度,全面性,充分性和有效性.
- 为全球评估研究生医学教育认证体系提供一个案例.
主要方法:
- 使用程序理论框架进行定性评估.
- 对最高认证委员会协议,标准,问卷和与28个不同利益相关者的半结构面试进行分析.
- 专注于结果链,结果-行动矩阵以及对标准结构,内容和有效性的批判性检查.
主要成果:
- 预期结果与实施之间的部分协调;居民发展和毕业生能力的中间/最终结果缺乏明确的支持.
- 标准的明确性和一致性变化导致了潜在的不同的解释.
- 确定了标准中缺少的组件,教育过程中的差距,监督和组织责任,特别是在边缘培训场所.
结论:
- 确定了在住院认证标准中需要改进的具体领域.
- 为评估认证标准提供了一个结构化的方法,强调明确的目标,明确的要求和假设审查.
- 评估框架可以帮助其他认证机构审查和更新适合上下文的内容标准,并优化利益相关者的协调.
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