医疗教育的质量保证:我们是"勾选框"还是"做出改变"?
1Institute of Health Professions Education, Sri Balaji Vidyapeeth (Deemed to Be University), MGMCRI Campus, Pillaiyaarkuppam, Pondicherry, 607402, India. sethuramankr@sbvu.ac.in.
医疗教育质量保证 (QA) 经常由于外部动机而失败. 实施七级成果框架和计划-执行-检查-行动循环可以将重点转移到真正的改进和社会影响.
科学领域:
- 医疗教育 医学教育
- 质量保证 质量保证 质量保证
- 医疗保健专业发展
背景情况:
- 医疗教育质量保证 (QA) 往往是一个遵守驱动的"勾选"练习.
- 挑战包括外部动机,专注于输入而不是能力,缺乏教师所有权以及未充分利用的数据.
- 这阻碍了真正的进步和培养合格的毕业生.
研究的目的:
- 提出转变医疗教育质量保证战略,将质量保证从合规转变为真正改进的驱动力.
- 引入框架,加强对学生能力和社会影响的关注.
- 为医疗教育的持续改进提供路线图.
主要方法:
- 将柯克帕特里克模型扩展到一个七层结果框架.
- 将质量的四个支柱 (规划,保证,控制,改进) 与计划-执行-检查-执行 (PDCA) 周期保持一致.
- 将这些框架整合到医学教育,课程,教学,学习和评估中.
主要成果:
- 七级结果框架指导计划,以实现长期的患者和人口健康结果.
- PDCA周期为持续改进提供了一个动态的路线图.
- 采用方便过渡从单纯的遵守到培养卓越.
结论:
- 医学教育机构可以通过采用以结果为中心的框架来克服质量保证的挑战.
- 将重点转移到社会影响和持续改进至关重要.
- 这些策略有助于培养有能力和关心的医疗保健专业人员.
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