评估瘤学内容在加拿大内科医学能力设计住院课程
Meredith Li1,2, Zhen Jason Fan1, Mehroz Ehsan2
1Division of Medical Oncology & Hematology, University Health Network, Toronto, ON, Canada.
概括
对于加拿大的内科住院医生来说,瘤学教育是不够的,只有6%的培训活动专注于癌症护理. 需要标准化国家课程,以改善实习生癌症教育.
科学领域:
- 医疗教育 医学教育
- 在瘤学瘤学.
- 内部医学 内部医学
背景情况:
- 癌症护理的复杂性正在上升,但全球和加拿大内部医学学员的瘤学教育不足.
- 加拿大居留培训现在使用设计能力 (CBD) 框架,可信任的专业活动 (EPA) 定义了学员能力.
研究的目的:
- 评估瘤学在加拿大的一般内科住院课程中的代表性.
- 在当前基于能力的医学教育体系中发现瘤学教育的差距.
主要方法:
- 对一般内科住院课程的文档分析.
- 将可信任的专业活动 (EPA) 识别和映射到17个子专业.
- 在EPA中量化与瘤学相关的目标.
主要成果:
- 总共分析了27个环保协议和401个观察结果.
- 瘤学目标仅占所有EPA的6%,在子专业中排名第九.
- 心脏病学 (12%) 和通用医学 (10%) 的EPA比例最高.
结论:
- 目前在加拿大的内部医学培训缺乏足够的瘤学内容.
- 迫切需要更新的教育策略,以加强内科住院医生的瘤学培训.
- 建议制定一个具有标准化的学习目标的国家课程,以补充CBD框架.
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