Department of Anaesthesia, Queen Elizabeth Hospital, Mindelsohn Way, Edgbaston, Birmingham, UK.
Med Teach. 2013 Jun;35(6):e1230-4. doi: 10.3109/0142159X.2012.746447. Epub 2013 Apr 30.
Workplace based assessments (WBAs) have been part of UK training for the last 3 years. Carrying out procedures efficiently and safely is of paramount importance in anaesthesia.
To explore opinions and experiences of Direct Observation of Procedural Skills (DOPS) assessments in a regional anaesthetic training programme.
19 and 20-item questionnaires were distributed to trainees and consultants respectively.
Questionnaire response rate was 76% (90/119) for trainees and 65% (129/199) for consultants. 43% of consultants and 33% of trainees were not trained in DOPS use. Assessments were usually not planned. 50% were ad hoc and the remainder mainly retrospective. Time spent on assessment was short with DOPS and feedback achieved in ≤15 minutes in the majority of cases with lack of suggestions for further improvement. Both trainees and consultants felt that DOPS was not a helpful learning tool (p = 0.001) or a reflection of trainee competency.
DOPS assessments are currently not valued as an educational tool. Training is essential in use of this WBA tool which needs to be planned and sufficient time allocated so as to address current negative attitudes.
基于工作场所的评估(WBAs)在英国已经进行了 3 年的培训。在麻醉学中,高效、安全地进行手术至关重要。
探索区域麻醉培训计划中直接观察手术技能(DOPS)评估的意见和经验。
分别向学员和顾问分发了 19 项和 20 项的问卷。
学员的问卷回复率为 76%(90/119),顾问的回复率为 65%(129/199)。43%的顾问和 33%的学员没有接受过 DOPS 使用的培训。评估通常没有计划。50%是临时的,其余主要是回顾性的。在大多数情况下,评估和反馈的时间都很短,在 15 分钟内完成,缺乏进一步改进的建议。学员和顾问都认为 DOPS 不是一个有用的学习工具(p=0.001)或反映学员能力的工具。
目前,DOPS 评估并未被视为一种教育工具。在使用这种 WBA 工具时需要进行培训,必须进行计划并分配足够的时间,以解决当前的负面态度。