Sharma Pooja, Tanveer Nadeem, Goyal Aditi
Department of Pathology, University College of Medical Sciences, New Delhi, India.
J Lab Physicians. 2018 Jan-Mar;10(1):26-30. doi: 10.4103/JLP.JLP_51_17.
During the past decade, there has been a paradigm shift in medical education from the problem-based learning to competency-based training. This has forced a rethink on the way we evaluate the residents and finally give them the right to handle patients independently. This study makes the first attempt towards designing competency-based training program for pathology residents by formulating the entrustable professional activities (EPAs) for the 1 year pathology residents.
A questionnaire comprising 18 potential EPAs in histopathology and 12 potential EPAs in cytology were circulated among the residents of Pathology Department. The respondents were asked to grade the EPAs on a scale of 0-4 based on how important they considered that activity as EPA. The cumulative score of each EPA was divided by the number of respondents to arrive at the average score. The EPAs with an average score of 3 or more qualified to be shortlisted as consensus EPAs.
Five activities each of histopathology and cytopathology had an average score of 3 or above and were shortlisted as EPAs for the 1 year pathology postgraduates. Each of these was also mapped to their respective competencies.
There is an urgent need to restructure the postgraduate pathology curriculum in line with competency-based training. This study is the first step in this direction.
在过去十年中，医学教育已从基于问题的学习转向基于能力的培训，发生了范式转变。这迫使我们重新思考评估住院医师的方式，并最终赋予他们独立处理患者的权利。本研究首次尝试通过制定针对一年级病理学住院医师的可托付专业活动（EPA），来设计基于能力的病理学住院医师培训计划。
向病理科住院医师发放了一份问卷，其中包括18项组织病理学方面的潜在EPA和12项细胞学方面的潜在EPA。要求受访者根据他们认为该活动作为EPA的重要程度，在0-4的量表上对EPA进行评分。将每个EPA的累计得分除以受访者人数，得出平均分。平均分在3分及以上的EPA有资格入围成为共识EPA。
组织病理学和细胞病理学各有五项活动的平均分在3分及以上，并被列为一年级病理学研究生的EPA。每项活动也都对应了各自的能力要求。
迫切需要根据基于能力的培训对研究生病理学课程进行重组。本研究是朝着这个方向迈出的第一步。
