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一项基于模拟评估急诊医学研究生医学教育认证委员会(ACGME)里程碑的多中心合作。

A Multicenter Collaboration for Simulation-Based Assessment of ACGME Milestones in Emergency Medicine.

作者信息

Salzman David H, Watts Hannah, Williamson Kelly, Sergel Michelle, Dobiesz Valerie, DeGarmo Noah, Vora Samreen, Sharp Louis J, Wang Ernest E, Gisondi Michael A

机构信息

From the Departments of Emergency Medicine and Medical Education (D.H.S.), Northwestern University Feinberg School of Medicine; Advocate Health Care (H.W.), University of Illinois at Chicago; Advocate Christ Medical Center (K.W.), University of Illinois at Chicago; John H. Stroger Hospital of Cook County (M.S.), Rush University Medical Center, Chicago, IL; Neil and Elise Wallace STRATUS Center for Medical Simulation (V.D.), Brigham and Women's Hospital, Harvard Humanitarian Initiative, Boston, MA; Department of Emergency Medicine (N.D.), University of Texas Southwestern, Parkland Hospital, Dallas, TX; Simulation Center (S.V.), Children's Minnesota, Minneapolis, MN; Presence Resurrection Medical Center (L.J.S.), Department of Emergency Medicine, University of Illinois at Chicago; Division of Emergency Medicine (E.E.W.), NorthShore University HealthSystem, Evanston, IL; and Department of Emergency Medicine (M.A.G.), Stanford University School of Medicine, Stanford, CA.

出版信息

Simul Healthc. 2018 Oct;13(5):348-355. doi: 10.1097/SIH.0000000000000291.

DOI:10.1097/SIH.0000000000000291
PMID:29620703
Abstract

In 2014, the six allopathic emergency medicine (EM) residency programs in Chicago established an annual, citywide, simulation-based assessment of all postgraduate year 2 EM residents. The cases and corresponding assessment tools were designed by the simulation directors from each of the participating sites. All assessment tools include critical actions that map directly to numerous EM milestones in 11 different subcompetencies. The 2-hour assessments provide opportunities for residents to lead resuscitations of critically ill patients and demonstrate procedural skills, using mannequins and task trainers respectively. More than 80 residents participate annually and their assessment experiences are essentially identical across testing sites. The assessments are completed electronically and comparative performance data are immediately available to program directors.

摘要

2014年,芝加哥的六个全科急诊医学(EM)住院医师培训项目对所有二年级EM住院医师进行了年度全市范围的模拟评估。病例及相应评估工具由各参与机构的模拟培训主任设计。所有评估工具都包含关键行为,这些行为直接对应11个不同亚能力领域的众多EM里程碑。两小时的评估为住院医师提供了分别使用人体模型和任务训练器来领导危重症患者复苏及展示操作技能的机会。每年有80多名住院医师参加,他们在各测试地点的评估体验基本相同。评估通过电子方式完成,项目主任可立即获得比较绩效数据。

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