集中公平:计划评估和教育的范式转变 医学教育的持续质量改进
Arianne Teherani1,2, Denise M Connor1, Sylvia DeCourcey1
1University of California, San Francisco School of Medicine, San Francisco, CA, USA.
Teaching and learning in medicine
|December 23, 2025
概括
医学教育课程评估必须转向优先考虑公平与正义. 将社会正义原则纳入评估中,可以确保所有学习者获得公平的结果,并为社区提供公平的医疗保健.
科学领域:
- 医学教育研究 医学教育研究
- 卫生公平研究 卫生公平研究
- 项目评估 项目评估
背景情况:
- 医学教育对于公共卫生至关重要,需要公平的计划.
- 当前计划评估和持续质量改进 (ECQI) 往往忽视了公平.
- 系统性的不平等和偏见阻碍了公平的教育政策和实践.
研究的目的:
- 检查医学教育计划评估的演变.
- 倡导一种模式转变,优先考虑评估中的公平与正义.
- 提出可行的建议,将公平性纳入项目评估和ECQI.
主要方法:
- 关于医学教育中的程序评估的文献综述.
- 分析传统的评估指标及其局限性.
- 根据社会正义原则和世卫组织公平性定义制定建议.
主要成果:
- 像通过率这样的传统指标掩盖了少数群体学习者的经验.
- 一个案例示例展示了标准评估如何掩盖不平等.
- 建议侧重于承诺,多元化团队,社会正义方法和批判性镜头.
结论:
- 在程序评估和ECQI中以公平为中心,对于公平的医学教育至关重要.
- 公平的评估实践有助于改善医疗保健结果.
- 培养公平的思维方式改变了所有学习者的教育环境.
更多相关视频
09:55Bridging the Technology Divide in the COVID-19 Era: Using Virtual Outreach to Expose Middle and High School Students to Imaging Technology
Published on: September 28, 2022
2.0K
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
8.7K
相关概念视频
01:13Patient-centered Care
2.8K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.8K
01:15Nursing Evaluation
4.1K
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
4.1K
01:29Issues And Trends In Healthcare Delivery System
6.1K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
6.1K
01:26Methods Of Healthcare Delivery System
3.9K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.9K
01:23Methods of Documentation V: CBE
1.4K
Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
1.4K
01:15Nursing Implementation
5.9K
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
5.9K