它以学习为中心,但它是否以学习者为中心? : 儿科居民对基于能力的医学教育的观点
Harrison Anzinger1, Brett Schrewe2
1Pediatric Resident, Department of Pediatrics, Faculty of Medicine, The University of British Columbia, Victoria, Canada.
Medical education
|November 14, 2025
概括
儿科居民发现设计能力 (CBD) 给他们带来了行政负担,并提供了不一致的反,尽管他们同意其目标. 解决居民的批评对于改善基于能力的医学教育 (CBME) 至关重要.
科学领域:
- 医学教育 医学教育
- 儿科住院培训培训 儿科住院培训
- 基于能力的医学教育
背景情况:
- 加拿大儿科住院项目过渡到设计能力 (CBD),一个以学习者为中心的基于能力的医学教育 (CBME) 模式.
- 在CBD的开发过程中,居民的投入是有限的,这引发了人们对CBD对学员的实际影响的担忧.
- 这项研究旨在了解CBD如何影响儿科居民的教育经验.
研究的目的:
- 探索儿科住院医生在实施设计能力 (CBD) 方面的观点.
- 确定CBD对加拿大儿科计划中居民教育经验的影响.
- 根据居民反,为CBME培训模型的改进提供信息.
主要方法:
- 定性工具单个案例研究设计.
- 半结构面试与14名儿科住院医生进行,他们正在培训的第三年.
- 反思性,诱导性主题分析用于确定居民体验中的关键主题.
主要成果:
- 居民支持CBD的目标,但报告增加了行政负担和责任.
- 可信任的专业活动 (EPA) 提供了可变的反,而CBD被认为是对学习的评估,而不是学习.
- 员工医生在采用CBD框架时遇到了挑战.
结论:
- 调查结果表明,尽管CBD以学习者为中心的意图,但CBD可能对居民产生负面影响.
- 必须解决居民的批评,以优化CBME系统.
- 需要更深入地考虑影响CBME设计和交付的历史和意识形态因素.
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