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[在外科轮流中组织教学 - - 开始最后一年的学生有什么实践经验?]
Niklas Julian Dohle1, Harm Peters1, Ylva Holzhausen2
1Dieter Scheffner Fachzentrum für medizinische Hochschullehre und evidenzbasierte Ausbildungsforschung, Prodekanat für Studium und Lehre, Charité - Universitätsmedizin Berlin, Campus Charité Mitte, Charitéplatz 1, 10117, Berlin, Deutschland.
Chirurgie (Heidelberg, Germany)
|December 5, 2025
概括
医学专业的学生进入手术轮换,具有多样化的实践经验,突出了结构化评估的必要性. 使用可信任的专业活动 (EPA) 可以个性化学习并增强外科培训.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 基于能力的评估.
背景情况:
- 最后一年的外科轮流 (实践年,PJ) 旨在提供必要的外科技能.
- 在这个轮换之前,医学学生的先前实践经验在很大程度上是未知的.
研究的目的:
- 系统地评估医学学生在PJ外科轮流开始时的实践经验.
- 为了确定之前暴露在关键的外科活动和手术的程度.
主要方法:
- 使用可信任的专业活动 (EPA) 框架来记录以前的经验.
- 医学学生将经验记录在基于10个EPA和20个程序 (NKLM 2.0) 的强制性电子投资组合中.
- 在轮换之前评估了执行EPA和程序的独立程度.
主要成果:
- 包括516名学生的数据 (2023年5月至2025年5月).
- 在实践经验中观察到显著的个体变化.
- 相当多的学生以前对7/10EPA和9/20程序有很少或没有任何经验.
结论:
- 学生开始与不同的实际技能水平的外科轮换.
- 基于EPA的评估识别能力,使得量身定制的监督和个性化的学习计划.
- 这种方法可以导致更以实践为导向的外科教育,并增加对外科手术职业的兴趣.
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