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在骨科和神经外科脊柱手术中,可信任的专业活动基础课程的发展状况:系统性审查
Maximilian Domann1, Fabiana Phillips2, Martin R Fischer1
1Institute of Medical Education, LMU University Hospital, LMU Munich, Munich, Germany.
Frontiers in medicine
|December 22, 2025
概括
值得信赖的专业活动 (EPA) 对基于能力的医疗培训至关重要. 这次审查发现,在脊柱外科手术中,EPA课程的发展有限,强调需要共同努力来规范培训.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 基于能力的教育 基于能力的教育
背景情况:
- 研究生医学培训往往缺乏明确的,可评估的结果.
- 可信任的专业活动 (EPA) 为基于能力的培训提供了一个框架.
- 这篇评论侧重于EPA在骨科和神经外科脊柱手术中的课程.
研究的目的:
- 调查脊柱外科手术中基于EPA的课程的发展状态.
- 确定现有的EPA框架和方法.
- 突出EPA在脊椎外科培训中的实施挑战和机遇.
主要方法:
- 对数据库研究 (PubMed,Embase) 和灰色文献进行系统审查.
- 由两个审稿人进行独立选,数据提取和综合.
- 由于预期的异质性,叙述合成;没有正式的偏见风险评估.
主要成果:
- 从15768个初始记录中,只有4篇相关论文被确定.
- 环保协议主要是使用专家共识方法 (例如,Delphi) 开发的.
- 有限的明确的EPA框架存在,AO Spine和RCPSC贡献了26个EPA.
结论:
- 在脊椎外科手术中,基于EPA的课程在很大程度上还没有发展.
- 实施入住计划处于早期阶段.
- 需要合作举措来定义,验证和实施特定专业的EPA.
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