值得信赖的职业活动超越参与:来自整个培训连续性的最佳实践
Amy L Holmstrom1, Rebecca Williams-Karnesky2, Erin White3
1Department of Surgery, Indiana University School of Medicine, Indianapolis, Indiana.
The Journal of surgical research
|October 24, 2025
概括
美国外科学会 (ABS) 现在要求一般外科住院医生可信任的专业活动 (EPA). 成功实施需要解决当地因素,推动教师和学员参与基于能力的教育.
科学领域:
- 医疗教育 医学教育
- 进行外科手术培训.
- 基于能力的教育 基于能力的教育
背景情况:
- 美国外科医学会 (ABS) 已经采用了一种使用可信任专业活动 (EPA) 的评估框架,用于一般外科住院项目.
- 在2023年7月实施了18个普通外科EPA,要求从2028年开始寻求董事会认证的毕业生提交EPA评估档案.
研究的目的:
- 评估最初的实施情况,并确定基于EPA的一般外科住院评估框架中的挑战.
- 为项目领导提供战略,以加强参与并优化EPA数据的使用.
主要方法:
- 分析了近两年来在一般外科住院收集的数十万份EPA评估.
- 对影响绩效变化和教师和实习生参与的挑战因素的审查.
主要成果:
- 在各个项目之间存在显著的绩效变化,受资源和结构等当地因素的影响.
- 教师和学员的持续参与仍然是成功实施EPA的关键挑战.
结论:
- 环境保护协议的成功实施取决于当地计划因素,包括结构,资源和实践模式.
- 项目领导支持对于推动文化变革和促进对EPA评估的参与至关重要.
- 产生买入,优化反和激励参与的策略对于最大限度地发挥EPAs的好处至关重要.
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