在基于能力的培训中对外科实习生的观点进行全面审查和现实综合
Heather McFadgen1, Marisa Louridas2, Jordyn Vernon3
1Colorectal Surgery Fellow, University of Toronto, Division of General Surgery, St. Michael's Hospital, 30 Bond Street, 16CC-044.
Annals of surgery
|August 27, 2025
概括
基于能力的医疗教育 (CBME) 在外科手术方面表现出不一致的结果. 这项审查对实施活动进行了映射,以提高CBME的有效性和居民的结果.
科学领域:
- 医学教育
- 手术培训
- 基于能力的医学教育 (CBME)
背景情况:
- 在全球外科培训中广泛采用基于能力的医学教育 (CBME).
- 关于CBME对实习生健康的影响存在不同的发现.
- 项目主管需要基于证据的战略来有效实施CBME.
研究的目的:
- 审查外科学员在基于能力的医学教育 (CBME) 方面的经验.
- 确定CBME在外科培训中的优缺点.
- 为成功实施CBME绘制重要活动.
主要方法:
- 从2012年到2024年进行了文献审查,搜索了多个数据库和灰色文献.
- 包括报告外科学员对CBME优缺点的看法的研究.
- 数据综合使用反射主题分析和科学现实主义视角.
主要成果:
- 对227篇文章的分析揭示了四个主要主题:实施物流,教育价值,传染性冷漠和心理影响.
- 提出了计划理论,绘制主题,以了解预期和实际CBME影响之间的差异.
- 从实习人员的角度来看,该审查确定了CBME的具体优点和缺点.
结论:
- 绘制主题和程序理论为改进手术程序中的CBME实施提供了指导.
- 这些改进旨在改善居民的福祉.
- 最终的目标是培养安全和有能力的外科医生.
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