[可靠的专业活动 - - 手术培训的范式从数量转向质量]
Mohammed Ibrahim1, Steffen Axt1, Judith Dechantsreiter1
1Klinik für Allgemeine, Viszeral- und Transplantationschirurgie, Universitätsklinikum Tübingen, Hoppe-Seyler-Str. 3, 72076, Tübingen, Deutschland.
Chirurgie (Heidelberg, Germany)
|September 4, 2025
概括
由于目前的基于程序的评估, 外科培训面临挑战. 使用可委托专业活动 (EPA) 的核心能力模型为评估外科技能提供了结构化,实用的方法.
科学领域:
- 医疗教育
- 手术培训
- 基于能力的评估
背景情况:
- 2020年修订的德国外科培训法规强调知识和实践技能.
- 目前的培训目录中所列的最低手术数量并不准确地反映了外科手术能力.
- 住院医生在表现出实际的手术能力方面面临挑战.
研究的目的:
- 为未来的外科医生提供现有外科培训的挑战.
- 提供以核心能力为导向的外科培训模式,使用可信任的专业活动 (EPA).
- 建议实施战略和数字化以EPA为基础的外科教育.
主要方法:
- 对当前的外科培训实践和建议的EPA模型进行叙述.
- 在外科教育中分析EPA的结构,应用和益处.
- 探索数字化工具,将EPA纳入临床实践.
主要成果:
- 值得信赖的专业活动 (EPA) 是居民评估的临床任务.
- 环境保护协议有助于对个人能力进行结构化和持续的评估.
- 像智能手机应用程序这样的数字化工具可以将环保署的评估整合到日常工作中.
- 支持监督人员实施基于能力的培训和评估外科技能.
结论:
- 手术教育应该转向基于能力的学习.
- 经济合作伙伴关系促进以实践为导向的培训模式,将重点从数量转移到质量.
- 这种方法提高了外科培训和住院技能发展的质量.
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