From the Department of Anesthesiology (T.J.E.), Medical College of Wisconsin, Milwaukee, Wisconsin, and Zablocki VA Medical Center, Milwaukee, Wisconsin; and the Department of Anesthesiology (C.A.F.), Medical College of Wisconsin.
Anesthesiology. 2014 Jan;120(1):24-31. doi: 10.1097/ALN.0000000000000039.
The Accreditation Council for Graduate Medical Education is transitioning to a competency-based system with milestones to measure progress and define success of residents. The confines of the time-based residency will be relaxed. Curriculum must be redesigned and assessments will need to be precise and in-depth. Core anesthesiology faculty will be identified and will be the "trained observers" of the residents' progress. There will be logistic challenges requiring creative management by program directors. There may be residents who achieve "expert" status earlier than the required 36 months of clinical anesthesia education, whereas others may struggle to achieve acceptable status and will require additional education time. Faculty must accept both extremes without judgment. Innovative new educational opportunities will need to be created for fast learners. Finally, it will be important that residents embrace this change. This will require programs to clearly define the specific aims and measurement endpoints for advancement and success.
美国毕业后医学教育认证委员会正在向基于能力的系统过渡，采用里程碑式的方法来衡量住院医师的进步和确定其是否成功。住院医师培训的时间限制将放宽。课程必须重新设计，评估必须精确和深入。核心麻醉科教员将被确定，并将成为住院医师进步的“经过培训的观察者”。这将需要项目主管进行创造性的管理来应对后勤方面的挑战。可能会有一些住院医师在完成 36 个月的临床麻醉教育之前就达到了“专家”水平，而其他一些住院医师可能会努力达到可接受的水平，需要额外的教育时间。教员必须接受这两个极端，而不带有任何偏见。必须为学习能力强的人创造创新的新教育机会。最后，让住院医师接受这种变化很重要。这将要求项目明确定义推进和成功的具体目标和测量终点。
