评估本科医学教育在职前阶段的核心可信任专业活动
L James Nixon1, Rachel Stork Poeppelman2, Matt Traxler3
1Departments of Medicine and Pediatrics, University of MN Medical School, Minneapolis, MN, United States of America.
概括
在早期医学教育中,可信任的专业活动 (EPA) 评估显示出可靠的学习曲线. 这些数据支持早期临床经验的价值,用于跟踪预职员工培训人员的技能获取.
科学领域:
- 医学教育 医学教育
- 基于能力的教育 基于能力的教育
- 学习分析学习分析
背景情况:
- 本科医学教育越来越多地使用可信任的专业活动 (EPA) 来评估学习者的能力.
- 职前阶段为评估基础临床技能带来了独特的挑战.
- 纵向实施和分析EPA数据对于课程开发至关重要.
研究的目的:
- 描述在职前医疗教育计划中进入住院的核心EPAs的实施.
- 在12个月的时间内分析EPA评级的增长曲线.
- 在早期医学学习者中评估基于EPA的评估的可靠性和有效性.
主要方法:
- 242名一年级和二年级医学学生参加了早期临床体验课程.
- 学生在患者病例接触期间要求监督者 (居民,教师) 进行EPA评估.
- 从6,689个EPA评估中生成增长曲线,使用回归模型进行分析,并通过概括性分析 (Ep2系数) 评估可靠性.
主要成果:
- 美国环保署评估数据遵循预测的负指数学习曲线,表明基线性能,潜伏阶段,快速增长和减速.
- 在不同的EPA中观察到增长曲线斜率的显著变化.
- 对于EPAs的一个子集,通过4个评级者在4个场合进行评估,实现了足够的可靠性 (Ep2>0.7).
结论:
- 美国环保署的评级提供了可靠和有效的数据,关于临床技能获得在预职医学生,与学习理论保持一致.
- 早期的临床经验和EPA评估对于评估早期学习者是有价值的.
- 这个EPA计划显示了作为指导课程和教学改进在职务人员前医学教育的标准化系统的承诺.
相关概念视频
Preclinical Development: Overview
6.3K
Preclinical development consists of a series of tests that ensure the safety and efficacy of a new therapeutic compound before it is tested in humans. There are four main phases to this process. First, safety pharmacology tests are conducted to ensure the drug does not produce any acutely harmful effects. These tests examine parameters such as bronchoconstriction, cardiac dysrhythmias, blood pressure changes, and ataxia. Next, preliminary toxicological testing is performed to determine the...
6.3K
Pre-Procedural Guidelines for Assessing Blood Pressure
935
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
935
Endoscopic Procedures V: ERCP
5.0K
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
5.0K
Accountability and Responsibility of a Nurse II
1.3K
Professional accountability in nursing is a multifaceted concept that encompasses professional ethics, legal standards, and employment expectations. This framework ensures that nurses maintain and elevate the quality of care while upholding the values of their profession. It compels them to treat patients, families, and colleagues with respect, compassion, and integrity.
For example, a nurse demonstrating respect and compassion might listen attentively to a patient's concerns, provide...
For example, a nurse demonstrating respect and compassion might listen attentively to a patient's concerns, provide...
1.3K
Methods of Documentation VII: EMR
1.5K
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
1.5K
PPE Use in Healthcare Settings I: Donning
1.9K
Donning PPE must be completed before contact with the patient. This process protects from infectious agents. The sequence and action included in each donning are critical, and the steps must be systematic to avoid exposure to pathogens. The institutional policy also needs to be followed while donning PPE. The pre-donning preparations are gathering equipment, inspecting the PPE equipment for tears, holes, or damage, removing jewelry, removing any garments below the elbows, and tying the hair...
1.9K


