在诊断放射学方面引入基于能力的医疗教育后,居民病例数量:10年回顾
Jonah Isen1, Brendan Phillips2, Andrew D Chung2
1School of Medicine, Queen's University, Kingston, Ontario, Canada (J.I., A.D.).
Academic radiology
|August 21, 2025
概括
基于能力的诊断放射学医学教育 (CBME) 没有减少,甚至可能增加住院临床病例数量. 这有助于继续采用CBME用于放射学培训计划.
科学领域:
- 医学教育
- 放射学培训
- 基于能力的医学教育
背景情况:
- 诊断放射学实习课程正在过渡到基于能力的医学教育 (CBME).
- 由于CBME的评估负担增加,对临床暴露的潜在降低存在担忧.
- 本研究研究CBME对住院临床病例数量的影响.
研究的目的:
- 评估CBME课程的实施是否与传统的基于时间的课程相比影响住院临床病例量.
- 确定基于能力的培训模式是否维持或改变居民对诊断成像病例的接触.
主要方法:
- 在使用Nuance mPower临床分析的传统,Q-CBME和CBD课程中提取病例量.
- 对第一个腹部,胸部和神经影像轮换进行了分析,按工作日正常化.
- 进行了群体间的统计比较 (ANOVA,t测试),包括二次整体住院分析.
主要成果:
- 在CBME和传统群体之间,在各种模式和轮换中观察到病例数量的显著差异.
- 具体而言,腹部CT,神经放射CT和胸部X射线体积显示出显著的差异.
- 在所有重要的比较中,设计能力 (CBD) 和Q-CBME群体的平均病例数量高于传统群体.
结论:
- 基于能力的诊断放射医学教育 (CBME) 并没有减少住院临床病例数量.
- CBME框架可以维持和潜在地增加居民的临床暴露.
- 这些发现支持CBME在放射学实习计划中的持续采用和实施.
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