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研究生儿科住院医师培训计划评估系统:3 年经验报告。

An evaluation system for postgraduate pediatric residency programs: report of a 3-year experience.

机构信息

Pediatric Residency Program, Department of Woman's and Child's Health, University of Padua, Via Giustiniani 3, 35128, Padua, Italy.

Department of Philosophy, Sociology, Educational Studies and Applied Psychology, University of Padua, Padua, Italy.

出版信息

Eur J Pediatr. 2017 Sep;176(9):1279-1283. doi: 10.1007/s00431-017-2967-z. Epub 2017 Aug 1.

DOI:10.1007/s00431-017-2967-z
PMID:28762071
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5563329/
Abstract

UNLABELLED

The way a postgraduate medical training program is organized and the capacity of faculty members to function as tutors and to organize effective professional experiences are among the elements that affect the quality of training. An evaluation system designed to target these elements has been implemented within the framework of the Pediatric Residency Program of the University of Padua (Italy). The aim of this report is to describe some aspects of the experience gained in the first 3 years of implementation of the system (2013-2015). Data were collected using four validated questionnaires: the "Resident Assessment Questionnaire", the "Tutor-Assessment Questionnaire", the "Rotation-Assessment Questionnaire", and the "Resident Affairs Committee-Assessment Questionnaire". The response rate was 72% for the "Resident Assessment Questionnaires"; 78% for the "Tutor-/Rotation-Assessment Questionnaires" and 84% for the "Resident Affair Committee-Assessment Questionnaires". The scores collected were validated by psychometric tests.

CONCLUSION

The high rates of completed questionnaires returned and the psychometric validation of the results collected indicate that the evaluation system reported herein can be effectively implemented. Efforts should be made to refine this system and, more importantly, to document its impact in improving the Pediatric Residency Program. What is known: • The elements that influence the quality of postgraduate training programs and the knowledge, performance, and competences of residents must be regularly assessed. • Comprehensive evaluation systems for postgraduate residency programs are not universally implemented also because quite often common guidelines and rules, well-equipped infrastructures, and financial resources are missing. What is new: • We show the feasibility of implementing an evaluation system that targets some of the key elements of a postgraduate medical training program in Italy, a European country in which the regulations governing training programs and, notably, the evaluation of residents are still being developed.

摘要

未加标签

研究生医学培训计划的组织方式以及教师作为导师的能力和组织有效的专业经验是影响培训质量的因素之一。在意大利帕多瓦大学儿科住院医师计划的框架内,已经实施了旨在针对这些因素的评估系统。本报告的目的是描述该系统实施的头 3 年(2013-2015 年)中获得的一些经验。使用四个经过验证的问卷收集数据:“住院医师评估问卷”、“导师评估问卷”、“轮转评估问卷”和“住院医师事务委员会评估问卷”。“住院医师评估问卷”的回复率为 72%;“导师/轮转评估问卷”的回复率为 78%;“住院医师事务委员会评估问卷”的回复率为 84%。收集的分数通过心理测试进行验证。

结论

完成的问卷返回率很高,收集的结果通过心理测试验证表明,本文报告的评估系统可以有效实施。应努力完善该系统,更重要的是,记录其在提高儿科住院医师计划质量方面的影响。已知的:

  • 必须定期评估影响研究生培训计划质量以及住院医师的知识、表现和能力的因素。

  • 全面的研究生住院医师计划评估系统并未普遍实施,因为通常缺乏常见的指导方针和规则、完备的基础设施和财政资源。

新的内容

  • 我们展示了在意大利实施评估系统的可行性,意大利是一个欧洲国家,其培训计划的规定,尤其是对住院医师的评估仍在制定中。
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8302/5563329/16915c6e845c/431_2017_2967_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8302/5563329/c4efe43c0d99/431_2017_2967_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8302/5563329/16915c6e845c/431_2017_2967_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8302/5563329/c4efe43c0d99/431_2017_2967_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8302/5563329/16915c6e845c/431_2017_2967_Fig2_HTML.jpg

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本文引用的文献

1
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Ital J Pediatr. 2015 Jan 20;41:2. doi: 10.1186/s13052-014-0106-2.
2
A short questionnaire to assess pediatric resident's competencies: the validation process.评估儿科住院医师能力的简短问卷:验证过程。
Ital J Pediatr. 2013 Jul 5;39:41. doi: 10.1186/1824-7288-39-41.
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A model of quality assurance and quality improvement for post-graduate medical education in Europe.
Front Psychol. 2019 Dec 4;10:2714. doi: 10.3389/fpsyg.2019.02714. eCollection 2019.
欧洲研究生医学教育的质量保证和质量改进模型。
Med Teach. 2010;32(2):e57-64. doi: 10.3109/01421590903199734.
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Assessment in medical education.医学教育中的评估。
N Engl J Med. 2007 Jan 25;356(4):387-96. doi: 10.1056/NEJMra054784.
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Evidence for the reliability of measures and validity of measure interpretation: a Rasch measurement perspective.测量可靠性及测量结果解释有效性的证据:一种Rasch测量视角
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