是否等同于委托级别? 教师授权评级的变化
Julia Adriana Kasmirski1, Martin Paul Jones1, Niranjna Swaminathan1
1Department of Surgery, The University of Alabama at Birmingham, Birmingham, Alberta.
Journal of surgical education
|September 2, 2025
概括
教师们对外科实习生"可信任的专业活动" (EPA) 的评价有所不同. 年长居民 (PGY3-5) 的信任得分比年轻居民 (PGY1-2) 高,得分变化也更大.
科学领域:
- 医学教育
- 手术培训
- 基于能力的教育
背景情况:
- 值得信赖的专业活动 (EPAs) 框架对于评估居民在医学教育中的能力至关重要.
- 关于在EPA框架内赋予教师信任级别的变化存在有限的数据,特别是在整体外科.
研究的目的:
- 评估不同研究生年级 (PGY) 的普通外科住院医师的信任级别的变化.
- 为了比较初级 (PGY1-2) 和高级 (PGY3-5) 居民的信任分数变化.
主要方法:
- 在一年内从52个教师中收集了1108个内部EPA评估.
- 在PGY级别内计算的EPA分数差异,不包括低于5次评估的评级者.
- 使用Levene测试和Bonferroni校正进行变化比较,并使用线性混合模型进行平均分数比较.
主要成果:
- 平均委托分数显著增加 (从PGY1的1.72到PGY5的3.33分).
- 年轻居民 (PGY1-2) 实现了较低的信任水平 (1-3) 之间没有显著的差异.
- 与年轻人相比,老年居民 (PGY3-5) 的信任范围更广 (2-4),整体信任和得分变化明显更高.
结论:
- 在同一个PGY级别内,教师在分配EPA分数方面表现出相当大的差异.
- 对于老年居民来说,EPA评级的变化表明操作技能的发展有所差异.
- 研究结果强调需要在基于能力的外科培训计划中进行标准化的教师评估和反.
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