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美国外科医师学院/外科学教育协会医学生基于模拟的外科技能课程:与可委托的专业活动保持一致。

American College of surgeons /Association for Surgical Education Medical Student Simulation-based Surgical Skills Curriculum: Alignment with Entrustable Professional Activities.

机构信息

Department of Surgery, University of Hawaii, John A. Burns School of Medicine, United States.

Department of Surgery, Baylor College of Medicine, United States.

出版信息

Am J Surg. 2019 Feb;217(2):198-204. doi: 10.1016/j.amjsurg.2018.10.012. Epub 2018 Oct 15.

Abstract

BACKGROUND

We hypothesized that medical experts would concur the American College of Surgeons/Association for Surgical Education Medical Student Simulation-based Surgical Skills Curriculum ("ACS/ASE Curriculum") could be used to teach and assess Entrustable Professional Activities (EPAs).

METHODS

A "crosswalk" was created between ACS/ASE Curriculum modules and eight EPAs. Medical education experts participated in a Delphi process regarding feasibility of using the modules for teaching and assessing EPAs.

RESULTS

Twenty-eight educators from six clinical fields participated. There was consensus that five of the EPAs could be taught and assessed by the ACS/ASE Curriculum. A median of nine hours per month outside the surgical clerkship was recommended for skills training.

CONCLUSIONS

The ACS/ASE Curriculum lays the framework for implementing select EPAs into medical student education. Experts recommended increased time for skills training with incorporation of the modules into the first three years of medical education, with assessments planned in the third to fourth years.

摘要

背景

我们假设医学专家会同意美国外科医师学院/外科学教育协会基于模拟的医学生外科技能课程(“ACS/ASE 课程”)可用于教授和评估可委托的专业活动(EPAs)。

方法

在 ACS/ASE 课程模块和八项 EPA 之间创建了一个“交叉路口”。医学教育专家参与了一项关于使用模块教授和评估 EPA 的 Delphi 流程。

结果

来自六个临床领域的 28 名教育工作者参加了。专家们一致认为,ACS/ASE 课程可以教授和评估五个 EPA。建议每月在外科实习之外进行九个小时的技能培训。

结论

ACS/ASE 课程为将特定 EPA 纳入医学生教育奠定了框架。专家建议,将这些模块纳入医学教育的前三年,并在第三至第四年进行评估,以增加技能培训时间。

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