重新想象居住选择:在合格者中进行彩票
Holly A Caretta-Weyer1, Benjamin Kinnear2, Maya M Hammoud3
1Associate professor of emergency medicine and Associate Dean of Admissions and Assessment, Stanford University School of Medicine, Palo Alto, California.
概括
目前的住院选择过程阻碍了基于能力的医学教育. 对面试进行修改的抽奖系统,优先考虑能力而不是比较成绩,可以提高对居住培训的公平性和准备性.
科学领域:
- 医学教育 医学教育
- 研究生医学教育研究生医学教育
- 基于能力的教育 基于能力的教育
背景情况:
- 北美地区的住院选择阻碍了基于能力的医学教育.
- 目前的选择依赖于标准引用的成就 (测试成绩,出版物),而不是标准引用的患者护理准备能力.
- 这一系统激励了一种成就心态,将注意力从居住准备的基本技能转移.
研究的目的:
- 倡导在居留选择过程中的转变.
- 促进以成长为导向,基于能力的本科医学经验.
- 确保所有申请人为居住培训做好准备.
主要方法:
- 批评目前的居留选择措施是不预测的,有偏见的,以成就为中心的.
- 提议修改抽奖系统,在合格资格的申请人中面试职位.
- 讨论彩票的机制,包括学生选择,平等和特殊情况.
主要成果:
- 目前的选择指标是预测住院成功和患者护理准备程度的糟糕指标.
- 修改后的彩票可以为现有系统提供一个更公平,更专注于能力的替代方案.
- 拟议的彩票旨在根据能力和偏好将学生与合适的课程保持一致.
结论:
- 住院选择过程需要进行根本性的改变,以支持基于能力的医学教育.
- 修改后的彩票系统提供了一个可行的替代方案,以提高公平性和准备性.
- 这种方法可以更好地使医学教育与安全,高质量的患者护理需求保持一致.
相关概念视频
Noncompartmental Analysis: Mean Residence Time
591
According to statistical moment theory, mean residence time (MRT) is an important measure in pharmacokinetics. MRT can be defined as the expected mean of a probability density function distribution. It provides valuable insights into drug disposition in the body.
After the administration of a drug through intravenous bolus injection, the drug molecules are distributed throughout the body and remain there for varying periods. The MRT represents the average time these drug molecules stay in the...
After the administration of a drug through intravenous bolus injection, the drug molecules are distributed throughout the body and remain there for varying periods. The MRT represents the average time these drug molecules stay in the...
591
What is Natural Selection?
126.2K
Natural selection is an evolutionary process in which individuals with survival-promoting traits reproduce at higher rates. These favorable traits become more common within a population or species. Naturally selected traits initially arise via random genetic mutations. In order for selection to occur, there must be variation within a population, the trait controlling the variation must be heritable, and there must be an evolutionary advantage for variation in the trait.
126.2K
Antibiotic Selection
59.5K
Overview
59.5K
Types of Selection
44.0K
Natural selection influences the frequencies of particular alleles and phenotypes within populations in several different ways. Primarily, natural selection can be directional, stabilizing, or disruptive. Directional selection favors one extreme trait and shifts the population towards that phenotype while selecting against individuals displaying alternate traits. Stabilizing selection favors an intermediate trait with a narrow range of variation. Deviation from the optimal phenotype towards an...
44.0K
Frequency-dependent Selection
23.1K
When the fitness of a trait is influenced by how common it is (i.e., its frequency) relative to different traits within a population, this is referred to as frequency-dependent selection. Frequency-dependent selection may occur between species or within a single species. This type of selection can either be positive—with more common phenotypes having higher fitness—or negative, with rarer phenotypes conferring increased fitness.
23.1K
Limits to Natural Selection
34.1K
Organisms that are well-adapted to their environment are more likely to survive and reproduce. However, natural selection does not lead to perfectly adapted organisms. Several factors constrain natural selection.
34.1K


