在内科住院医师培训计划中实施以能力为基础的医学教育：过程和对住院医师满意度的影响。
Implementing Competency-Based Medical Education in Internal Medicine Residency Training Program: the Process and Impact on Residents' Satisfaction.
机构信息
Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
Office of Medical Education, Seoul National University College of Medicine, Seoul, Korea.
出版信息
J Korean Med Sci. 2019 Jul 29;34(29):e201. doi: 10.3346/jkms.2019.34.e201.
BACKGROUND
Graduate medical education is shifting from the traditional apprenticeship model to a competency-driven model. Here we describe the design and implementation of competency-based medical education (CBME) in an internal medicine residency program, and report satisfaction survey results.
METHODS
We redesigned the residency curriculum as CBME to be resident-centred, systematic, focused on general internal medicine, to provide experience in various care setting, and work-based assessment. In the second year of this CBME transition, we surveyed residents' overall satisfaction using 5-point Likert scale. Feedback on their training program was also analysed.
RESULTS
The overall satisfaction score was 3.24 and thirteen residents (61.9%) answered that the preceptor's practical training in an educational atmosphere and improvement through training were the merits of the training program. However, residents complained about the working condition such as work overload.
CONCLUSION
With the CBME implementation, most residents expressed satisfaction with the hospital's educational environment but they suffered from overwork. Further efforts to improve the educational program and environment are warranted.
背景
医学研究生教育正从传统的学徒模式向以能力为导向的模式转变。在这里，我们描述了在一个内科住院医师培训项目中基于能力的医学教育（CBME）的设计和实施，并报告了满意度调查结果。
方法
我们将住院医师课程重新设计为以住院医师为中心、系统的、以普通内科为重点的 CBME，提供各种医疗环境和基于工作的评估经验。在 CBME 转型的第二年，我们使用 5 分制李克特量表对住院医师的整体满意度进行了调查。还分析了他们对培训计划的反馈。
结果
总体满意度评分为 3.24，有 13 名住院医师（61.9%）表示，导师在教育氛围中的实际培训以及通过培训提高的能力是培训计划的优点。然而，住院医师抱怨工作条件，如工作负荷过重。
结论
随着 CBME 的实施，大多数住院医师对医院的教育环境表示满意，但他们工作过度。需要进一步努力改善教育计划和环境。
Zotero 插件