居民个人临床评估:居民的观点和有效性
J Christopher Polanco-Santana1, Rodrigo Calvillo-Ortiz2, Manuel Castillo-Angeles3
1Department of Surgery, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
Journal of surgical education
|September 7, 2025
概括
住院个人临床评估 (rICE) 课程提高了外科住院医师的认证委员会考试通过率44%. 居民们发现rICE是一种有价值的学习体验,提高了他们对临床情景和口腔检查的准备.
科学领域:
- 外科教育的外科教育
- 医学培训评估 医学培训评估
背景情况:
- 高级外科住院医生需要为独立实践和董事会认证考试做准备,例如ABS认证考试 (ABSCE).
- 居民个人临床评估 (rICE) 是一个低成本的工具,旨在评估居民在适当水平的场景中的临床判断,并帮助ABSCE准备.
研究的目的:
- 评估外科住院医生对rICE课程的感知效用.
- 介绍rICE的课程组成部分.
- 为了比较参与rICE和没有参与rICE的居民之间的假口语和ABSCE合格率.
主要方法:
- PGY1-3外科住院生每学年完成三次适当水平的RICE课程,并立即获得反.
- 一个后rICE调查评估了居民的感知课程的实用性,使用混合方法的方法.
- 在RICE参与者和非参与者之间比较了ABSCE和模拟口服通过率.
主要成果:
- 在RICE后进行的102项调查显示,居民满意度很高,81.37%的受访者觉得自己做好了更好的准备,87.25%的受访者认为这是一次卓越的学习体验,85.29%的受访者推这次活动.
- 与非参与者相比,rICE参与者的ABSCE通过率 (p≈0.01) 绝对增加了44%.
- 模拟口头通过率趋向于显著 (p≈0.06),随着时间的推移,rice参与者增加.
结论:
- 居民对rICE留下了良好的印象,强调其适应性,可实施性以及对知识和演讲技能的自我反思的实用性.
- 该rICE课程是可持续的,低资源密集型,并提供早期接触临床评估.
- 参与rICE与ABSCE通过率的提高和潜在的改善模拟口服通过率有关.
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