通过有针对性的干预措施减少医生助理国家认证考试失败率.
Ashley Gentry1,2, America McGuffee1,2
1Ashley Gentry, MPAS, PA-C, is an associate professor of Department of Physician Assistant Studies at University of North Texas Health Science Center.
概括
医生助理 (PA) 计划可以通过使用绩效指标来识别有风险的学生来提高医生助理国家认证考试 (PANCE) 的通过率. 有针对性的干预措施在试点队列中显著降低了PANCE失败率.
科学领域:
- 医学教育 医学教育
- 医生助理研究 医生助理研究
背景情况:
- 医生助理 (PA) 计划的认证是基于与医生助理国家认证考试 (PANCE) 结果相关的绩效指标.
- 有限的研究存在于可操作的,特定于程序的干预措施,以减轻PANCE失败.
- 这项研究解决了对计划发起干预措施有效性的数据需求.
研究的目的:
- 确定基于指标切断点的程序实施干预措施是否有效地减少潜在的PANCE故障.
- 评估针对性辅导和干预措施对有风险的PA学生的影响.
主要方法:
- 来自北德克萨斯大学健康科学中心PA计划的426名学生 (2019-2024年队列) 的回顾性分析.
- 皮尔森相关性和回归分析,以确定PANCE绩效指标的切割点.
- 在咨询和干预后,对有风险的学生表现的分析.
主要成果:
- 学生有5个或更多的绩效指标低于截止点,预计将在PANCE中失败.
- 接受早期有针对性的干预措施的2024年队列预计有13次失败,而之前的队列 (2019-2023) 预计有5次或更少.
- 2024年队列中的干预组经历了8%的PANCE失败率,比之前的队列中的50% (2023年),40% (2021年) 和50% (2020年) 显著下降.
结论:
- 使用绩效指标切断点监测学生的进步,可以及时进行个性化干预.
- 个性化咨询和量身定制的干预措施显著提高了面临风险的学生的PANCE通过率.
- 这种方法证明了主动支持PA教育的价值,以改善认证结果.
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