医学知识的下降:积极使用的作用
Yunting Liu1,2, Yanlin Jiang3, Andrew D Dallas3
1Berkeley School of Education, University of California, Berkeley, CA, USA. yunting99@berkeley.edu.
概括
医生知识的下降与它在实践中使用的频率有关. 较少使用的医学知识,比如医生助理 (PA) 重新认证考试中的医学知识,衰变得更快,影响患者的护理.
科学领域:
- 医学教育 医学教育
- 持续的专业发展持续的专业发展
- 卫生专业 卫生专业 卫生专业
背景情况:
- 医生助理/助理 (PA) 在初步认证后,经历了医学知识的下降.
- 这种下降可能与日常临床实践中知识应用的频率有关.
- 了解知识保留模式对于有效的持续医学教育和再认证至关重要.
研究的目的:
- 调查PA医学知识在认证后下降的原因.
- 确定知识在实践中的使用频率是否会影响知识的保留.
- 为提高能力评估和重新认证策略的提升提供信息.
主要方法:
- 从医生助理国家认证考试 (PANCE) 和医生助理国家再认证考试纵向评估 (PANRE-LA) 的数据分析.
- 根据使用频率,医疗知识子域被分为"主导"",相关"和"远程"的分类,经过专家PA的验证.
- 隐藏过渡分析 (LTA) 以与使用频率相关的知识衰减概率进行建模.
主要成果:
- 知识的下降受到实践概况和使用频率的重大影响.
- 较少使用的知识 ("相关"和"远程") 与"主导"知识相比,下降的可能性更高 (分别为OR=2.31和OR=2.26).
- 与相关和遥远的知识相比,主导知识显示了随着时间的推移改进的可能性更大.
结论:
- 医学知识的衰退并不统一;它根据特定的知识领域及其临床相关性而有所不同.
- 重新认证评估应考虑基于使用频率的医学知识的差异性衰变率.
- 定制持续教育和评估策略以解决特定的知识差距,可以增强PA能力维护.
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