使用可信任的专业活动,以获得可靠的整体委托决策
Daniel J Schumacher1, Daniel J Sklansky2, Brian Rissmiller3
1Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, United States.
概括
确定可委托专业活动 (EPA) 的数量对于评估儿科住院准备度至关重要. 这项研究发现,对于可靠的毕业委托决策,需要9到13个一般儿科EPA.
科学领域:
- 医学教育 医学教育
- 儿科 儿科 儿科
- 基于能力的教育 基于能力的教育
背景情况:
- 可信任的专业活动 (EPA) 定义了医疗专家的基本技能.
- 一般儿科有17个定义的EPA,但可靠评估的最佳数量是未知的.
- 准确评估住院准备对于患者安全和有效的培训至关重要.
研究的目的:
- 确定高可靠性委托决策所需的一般儿科EPA的最低数量.
- 为毕业儿科住院医生制定强有力的评估策略提供信息.
- 确保居民在完成培训后为无监督实践做好准备.
主要方法:
- 收集了17个一般儿科EPA的托管监督水平,来自48个美国计划中的4,250名居民,在三学年内.
- 利用概括性和决策研究来分析两年半的年中和年终能力委员会数据.
- 根据研究生一年和数据收集时间点检查的数据.
主要成果:
- 评估6个EPA的结果是一般化系数为0.8;12个EPA的结果是0.9.
- 在毕业时,需要9到13个EPA才能达到委托决策的0.9的概括系数.
- 可靠性因数据收集时间点 (年中与年底) 和研究生年度而异.
结论:
- 9个一般儿科的EPA足以可靠地评估居民为无监督实践做好准备.
- 更多的EPA可能有利于课程开发,确保全面的培训.
- 结果为优化儿科住院评估和课程设计提供了关键数据.
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