值得信赖的专业活动对加拿大病理病理住院计划工作量和教育的影响
Archives of pathology & laboratory medicine
|January 22, 2026
概括
在病理学实习中使用可信任的专业活动 (EPA) 的基于能力的医学教育 (CBME) 会增加工作量和行政负担. 居民发现EPA提供了很少有价值的反,更喜欢在签约期间直接进行口头评估.
科学领域:
- 医学教育 医学教育
- 病理学培训 病理学培训
- 基于能力的医学教育
背景情况:
- 基于能力的医学教育 (CBME) 和可信任的专业活动 (EPA) 是医学培训的全球标准.
- 对CBME实施及其影响的病理学特定研究是有限的.
- 现有的调查表明,在EPA培训中存在管理负担,完成率和反方面的挑战.
研究的目的:
- 调查可信任的专业活动 (EPAs) 对病理学实习计划中的工作量和反的影响.
- 在实施五年后,评估基于EPA的基于能力的医学教育 (CBME) 系统的有效性.
主要方法:
- 在多伦多大学的诊断和分子 (解剖学) 病理学计划的住院居民中进行了横截面调查.
- 该计划于2019年过渡到基于EPA的CBME系统.
- 该调查评估了居民对EPA工作量,反质量和整体影响的看法.
主要成果:
- 达到了83% (n=25) 的高反应率.
- 超过一半的居民 (52%) 每周至少提交4份EPA,其中76%每周花费超过30分钟的EPA相关任务.
- 大多数居民 (92%) 发现EPA提供了很少的学习反,更喜欢在签约期间的口头反 (100%),这很少与EPA (36%) 配对.
- 居民报告说,对员工与居民的关系产生了负面影响,并对员工工作量增加表示担忧.
结论:
- 这项研究量化了在病理学实习中与CBME相关的工作量.
- 这些发现突出了实施基于EPA的培训的病理学计划的实际挑战和考虑.
- 可能需要替代或补充的反机制来增强EPA在病理学教育中的价值.
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