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医学教育教师可信赖的专业活动(EPAs):时机是否已到?

Entrustable professional activities (EPAs) for teachers in medical education: Has the time come?

机构信息

a Department of Medical Education and Administration and Department of Medicine , Vanderbilt University School of Medicine Nashville , TN , USA.

b Department of Anesthesiology , University Medical Center Utrecht , the Netherlands.

出版信息

Med Teach. 2017 Aug;39(8):894-896. doi: 10.1080/0142159X.2016.1270447. Epub 2016 Dec 27.

Abstract

On a daily basis, patients put their trust in the healthcare system for safe and high-quality healthcare. However, what evidence do we have as an educational community that our supervising faculty members are competent to fulfill this responsibility? Few, if any, requirements exist for faculty members to have continuous professional development in the field of medical education. Many faculty "love to teach", however, this love of teaching does not make them competent to teach or assess the competence of trainees whom they supervise. Faculty members who have a significant role as a teacher in the clinical setting should be assessed with regards to their baseline competence in applicable teaching EPAs. When competence is reached, an entrustment decision can be made. Once proficient or expert, a statement of awarded responsibility (STAR) may be granted. The time has come to reach beyond the "standards" of the old adage "see one, do one, teach one" in medical education. In this personal view, the authors outline an argument for and list the potential benefits for teachers, learners, and patients when we assess clinical teachers using EPAs within a competency-based medical education framework.

摘要

患者每天都会将自己的健康托付给医疗保健系统,以获得安全、高质量的医疗服务。然而,作为一个教育界,我们有什么证据表明我们的指导教师有能力履行这一责任呢?几乎没有什么要求教师在医学教育领域进行持续的专业发展。许多教师“热爱教学”,但这种对教学的热爱并不能使他们有能力教授或评估他们所指导的学员的能力。在临床环境中担任重要教师角色的教师应该根据其在适用教学 EPA 方面的基本能力进行评估。达到能力水平后,可以做出委托决策。一旦熟练或精通,就可以授予责任声明(STAR)。现在是时候超越医学教育中古老格言“看一个,做一个,教一个”的“标准”了。在这篇个人观点中,作者概述了使用基于能力的医学教育框架中的 EPA 评估临床教师的论点,并列出了对教师、学习者和患者的潜在好处。

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