Freiman Anatoli, Natsheh Adam, Barankin Benjamin, Shear Neil H
Division of Dermatology, McGill University, Montreal, Canada.
Dermatol Online J. 2006 Jan 27;12(1):6.
Medical residency education and the development of formalized training objectives in Canada have evolved continuously, especially with the introduction of the Canadian Medical Education Directions for Specialists (CanMEDS) competencies by the Royal College of Physicians and Surgeons of Canada (RCPSC) in 1996. In order to evaluate the effectiveness of implementation of CanMEDS competencies in Canadian postgraduate dermatology training programs from the residents' perspective, a comprehensive national survey of all Canadian core dermatology residents was conducted in June 2004. One hundred percent of core (PGY3-5) dermatology residents across the country (n = 48) completed the survey. Forty eight percent of residents were familiar with the CanMEDS competencies. Within the CanMEDS framework, the competencies were felt to be taught adequately by the following proportion of residents: medical expert (78 %), professional (66 %), communicator (52 %), collaborator (48 %), health advocate (48 %), scholar (48 %), and manager (28 %), with notable differences based on the year of training. This is the first national Canadian survey examining dermatology postgraduate education from the residents' perspective with a focus on CanMEDS competencies. While the RCPSC CanMEDS project implementation is presently in the faculty development phase, further work must be accomplished to enhance awareness of CanMEDS competencies and to incorporate these into dermatology residency programs across the country. Particular targeting of the roles perceived to be poorly taught is needed.
加拿大的住院医师医学教育以及正式培训目标的发展一直在持续演变，尤其是自1996年加拿大皇家内科医师与外科医师学会（RCPSC）引入《加拿大专科医师医学教育指南》（CanMEDS）能力标准以来。为了从住院医师的角度评估CanMEDS能力标准在加拿大皮肤科研究生培训项目中的实施效果，2004年6月对所有加拿大皮肤科核心住院医师进行了一次全面的全国性调查。全国所有核心（PGY3 - 5）皮肤科住院医师（n = 48）100%完成了调查。48%的住院医师熟悉CanMEDS能力标准。在CanMEDS框架内，住院医师认为以下各项能力标准得到了充分教授的比例分别为：医学专家（78%）、专业人员（66%）、沟通者（52%）、合作者（48%）、健康倡导者（48%）、学者（48%）和管理者（28%），且根据培训年份存在显著差异。这是加拿大首次从住院医师角度对皮肤科研究生教育进行全国性调查，重点关注CanMEDS能力标准。虽然RCPSC的CanMEDS项目实施目前正处于教师发展阶段，但仍需进一步开展工作，以提高对CanMEDS能力标准的认识，并将其纳入全国的皮肤科住院医师培训项目。需要特别针对那些被认为教学效果不佳的角色。
