手术重症监护可委托专业活动:评估的新时代
Deborah M Stein1, Amy N Hildreth, Krista L Kaups
1From the Program in Trauma (D.M.S., C.Y.C.), University of Maryland School of Medicine, Baltimore, Maryland; Department of Surgery (A.N.H.), University of SC School of Medicine-Columbia and Prisma Health-Midlands, Columbia, South Carolina; Department of Surgery (K.L.K.), University of California, San Francisco, Fresno; Department of Surgery (J.V.A.), University of California, Riverside School of Medicine, Riverside; Loma Linda University (J.V.A.), Loma Linda, California; Department of Surgery (R.B.G.), The University of Alabama at Birmingham, Birmingham, Alabama; Department of Surgery (S.G.), Thomas Jefferson University, Philadelphia, Pennsylvania; Department of Surgery (R.J.), Stony Brook Medicine, Stony Brook, New York; Department of Surgery (H.S.J.), University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin; Department of Surgery (A.R., S.G.S.), University of California-Davis, Davis, California; Department of Surgery (S.E.S.), University of Tennessee Medical Center-Knoxville, Knoxville, Tennessee; and American Board of Surgery (K.J.B.), Philadelphia, Pennsylvania.
创伤烧伤和外科重症监护委员会为外科重症监护 (SCC) 奖学金制定了可信任的专业活动 (EPA),概述了一个结构化的过程并解决独特的专业挑战.
科学领域:
- 医疗教育 医学教育
- 手术重症监护手术重症监护
- 基于能力的教育 基于能力的教育
背景情况:
- 在医学研究生培训中需要标准化的评估工具.
- 外科重症监护 (SCC) 患者管理的日益复杂性.
- 没有建立可信任的专业活动 (EPA) 获得SCC奖学金.
研究的目的:
- 描述为SCC奖学金制定EPA的系统过程.
- 确定和讨论SCC EPA创建的独特挑战.
- 在SCC中为未来基于能力的评估提供一个框架.
主要方法:
- 模仿一般外科手术后的EPA开发.
- 涉及的TBSCCB成员,反应堆小组和写作小组.
- 包括EPA选择,起草,范围定义和里程碑映射.
主要成果:
- 成功开发了一个全面的SCC EPAs套件.
- 确定并解决了与SCC专业相关的独特挑战.
- 环保协议被映射到ACGME SCC 2.0的里程碑.
结论:
- 开发的SCC EPAs为评估学员能力提供了一个强大的框架.
- 解决专业特定的挑战对于有效实施EPA至关重要.
- 这一过程为在其他外科子专业中开发EPA树立了先例.
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