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病理学住院医师实验室管理课程的创建与评估

Creation and Evaluation of a Laboratory Administration Curriculum for Pathology Residents.

作者信息

Guarner Jeannette, Hill Charles E, Amukele Timothy

机构信息

Department of Pathology and Laboratory Medicine, Emory University, Atlanta, GA.

Department of Pathology and Laboratory Medicine, Johns Hopkins University, Baltimore, MD.

出版信息

Am J Clin Pathol. 2017 Oct 1;148(4):368-373. doi: 10.1093/ajcp/aqx085.

Abstract

OBJECTIVES

A clinical laboratory management (CLM) curriculum that can objectively assess the Accreditation Council for Graduate Medical Education pathology systems-based practice milestones and can provide consistent resident training across institutions is needed.

METHODS

Faculty at Emory University created a curriculum that consists of assay verification exercises and interactive, case-based online modules. Beta testing was done at Emory University and Johns Hopkins. Residents were required to obtain a score of more than 80% in the online modules to achieve levels 3 to 4 in the milestones. In addition, residents shadowed a laboratory director, performed an inspection of a laboratory section, and completed training in human subjects research and test utilization.

RESULTS

Fourteen residents took and evaluated the laboratory administration curriculum. The printed certificates from the modules were used for objective faculty evaluation of mastery of concepts. Of all the activities the residents performed during the rotation, the online modules were ranked most helpful by all residents. A 25-question knowledge assessment was performed before and after the rotation and showed an average increase of 8 points (P = .0001).

CONCLUSIONS

The multimodal CLM training described here is an easily adoptable, objective system for teaching CLM. It was well liked by residents and provided an objective measurement of mastery of concepts for faculty.

摘要

目的

需要一个临床实验室管理(CLM)课程,该课程能够客观评估毕业后医学教育认证委员会病理学基于系统实践的里程碑,并且能够在各机构间提供一致的住院医师培训。

方法

埃默里大学的教员创建了一个课程,该课程包括分析验证练习和交互式、基于案例的在线模块。在埃默里大学和约翰·霍普金斯大学进行了测试。住院医师需要在在线模块中获得超过80%的分数,才能在里程碑中达到3至4级。此外,住院医师跟随实验室主任实习,对实验室部门进行检查,并完成人体研究和检测利用方面的培训。

结果

14名住院医师学习并评估了实验室管理课程。模块的打印证书用于教员对概念掌握情况的客观评估。在住院医师轮转期间进行的所有活动中,在线模块被所有住院医师评为最有帮助。在轮转前后进行了一次25道题的知识评估,结果显示平均提高了8分(P = .0001)。

结论

这里描述的多模式CLM培训是一种易于采用的、客观的CLM教学系统。它很受住院医师欢迎,并为教员提供了对概念掌握情况的客观衡量。

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