Harrison Gill
School of Health Sciences, City University London, Northampton Square, London, UK.
Ultrasound. 2015 Feb;23(1):11-7. doi: 10.1177/1742271X14550238. Epub 2014 Sep 17.
Clinical competency and the assessment of core skills is a crucial element of any programme leading to an award with a clinical skills component. This has become a more prominent feature of current reports on quality health care provision. This project aimed to determine ultrasound practitioners' opinions about how best to assess clinical competency. An on-line questionnaire was sent to contacts from the Consortium for the Accreditation of Sonographic Education and details distributed at the British Medical Ultrasound Society conference in 2011. One hundred and sixteen responses were received from a range of clinical staff with an interest in ultrasound assessment. The majority of respondents suggested that competency assessments should take place in the clinical departments with or without an element of assessment at the education centre. Moderation was an important area highlighted by respondents, with 84% of respondents suggesting that two assessors were required and 66% of those stating some element of external moderation should be included. The findings suggest that respondents' preference is for some clinical competency assessments to take place on routine lists within the clinical department, assessed by two people one of which would be an external assessor. In view of recent reports relating to training and assessment of health care professionals, the ultrasound profession needs to begin the debate about how best to assess clinical competence and ensure appropriate first post-competency of anyone undertaking ultrasound examinations.
临床能力及核心技能评估是任何包含临床技能部分并授予资格的项目的关键要素。这已成为当前有关优质医疗服务报告中更为突出的特征。该项目旨在确定超声从业者对于如何最佳评估临床能力的看法。一份在线调查问卷被发送给了超声教育认证联盟的联系人，并在2011年英国医学超声学会会议上进行了分发。从一系列对超声评估感兴趣的临床工作人员那里收到了116份回复。大多数受访者建议能力评估应在临床科室进行，无论教育中心是否有评估环节。审核是受访者强调的一个重要方面，84%的受访者建议需要两名评估者，66%的受访者表示应包含某种外部审核要素。研究结果表明，受访者倾向于在临床科室的常规检查清单上进行一些临床能力评估，由两人进行评估，其中一人为外部评估者。鉴于近期有关医疗保健专业人员培训和评估的报告，超声行业需要开始讨论如何最佳评估临床能力，并确保任何进行超声检查的人员在首次具备能力后能得到妥善安排。
