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使用可信任的专业活动框架评估实习生在照顾点超声波方面的能力
Joseph H Donroe1, André N Sofair2, Kevin M Piro3
1Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA. joseph.donroe@yale.edu.
开发了一个新的框架和工具,以评估内部医学 (IM) 学习者在护理点超声波 (POCUS) 的能力. 该工具为POCUS技能提供可靠和可行的基于工作场所的评估.
科学领域:
- 医学教育 医学教育
- 照顾点超声波 (POCUS) 超声波 (POCUS) 超声波是指照顾点的超声波.
- 能力评估能力评估能力评估能力
背景情况:
- 护理点超声波 (POCUS) 是内部医学 (IM) 中的一个关键技能.
- 需要强大的方法来有效地评估IM学习者的POCUS能力.
- 当前的评估策略可能无法完全捕捉到POCUS熟练程度的细微差别.
研究的目的:
- 为POCUS能力制定一个可信任的专业活动 (EPA) 框架.
- 创建一个验证的工具来评估IM居民的POCUS技能.
- 为基于工作场所的POCUS评估建立一种可靠和可行的方法.
主要方法:
- 一个由IM POCUS教育工作者组成的专家小组开发了EPA框架和评估工具.
- 有效性,可靠性和可行性通过IM学习者的床边评估来评估.
- 通过使用G研究和D研究统计数据,分析了三个学术场所48名学习者的604次评估数据.
主要成果:
- 美国环保署制定了一份题为"使用POCUS评估急性病患者"的报告.
- 学习者差异在27.7%至31.4%之间,这表明POCUS技能存在显著的个体差异.
- 可靠性指数为0.8,需要9-11次观察,评估完成时间平均为4.65分钟.
结论:
- 成功开发了一种基于EPA的工具,用于IM中的工作场所POCUS评估.
- 有效性,可靠性和可行性的证据支持IM学习者的床边POCUS能力评估.
- 这种工具预计将对IM程序评估POCUS能力非常有价值.
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