开发一个可信任的专业活动的框架,用于血液学在职培训
Hong Tian1,2, Lan Xu3, Jing Xi4
1National Clinical Research Center for Hematologic Diseases, Jiangsu Institute of Hematology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, People's Republic of China.
Advances in medical education and practice
|September 16, 2025
概括
这项研究开发了中国第一个针对血液学的可信任专业活动 (EPAs) 框架. 这种经过验证的工具增强了居民培训的基于能力的评估,解决了当地临床需求.
科学领域:
- 医学教育 医学教育
- 血液学培训 血液学培训
- 基于能力的评估.
背景情况:
- 值得信赖的专业活动 (EPA) 对于评估学员为独立的患者护理做好准备至关重要.
- 现有的EPA模型需要适应特定的国家培训系统和临床环境.
研究的目的:
- 制定一个特定环境的EPA框架,用于中国的血液病学实习生培训.
- 在中国血液学课程中建立一个有效的基于能力的评估工具.
主要方法:
- 一种经过修改的Delphi方法,涉及8所学术医院的35名专家.
- 系统性文献审查将国际EPA模型与中国居民标准化培训系统 (STSR) 整合起来.
- 使用EQual标题和两轮Delphi协商进行结构验证,以评估EPA的重要性,可观测性和可行性.
主要成果:
- 在专家审查和协商一致后,最终确定了12项EPA框架.
- 环保署达成一致的Equal合规 (≥4.07) 和强大的Delphi共识 (肯德尔的W:第2轮=0.529,p<0.001).
- 临床委托监督水平按培训阶段和预期能力分层.
结论:
- 建立了中国第一个针对血液学的EPA框架,结合了当地临床需求和国际最佳实践.
- 该框架提供了一个经过验证的工具,用于基于能力的评估在血液病学住院.
- 未来的工作包括数字化实施和EPA框架的全国性验证.
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