University of Alabama at Birmingham, Birmingham, Alabama, USA.
University of California San Diego, La Jolla, California, USA.
J Pain Symptom Manage. 2020 Jul;60(1):151-157. doi: 10.1016/j.jpainsymman.2020.01.008. Epub 2020 Jan 25.
Continuing the transition to competency-based education, Hospice and Palliative Medicine (HPM) fellowship programs began using context-free reporting milestones (RMs) for internal medicine subspecialties in 2014 but quickly recognized that they did not reflect the nuanced practice of the field. This article describes the development of 20 subspecialty-specific RMs through consensus group process and vetting by HPM educators. A workgroup of content experts used an iterative consensus building process between December 2017 and February 2019 to draft new RMs and create a supplemental guide that outlines the intent of each RM, examples of each developmental trajectory, assessment methods, and resources to guide educators. Program directors, program coordinators, and designated institutional officers were contacted directly to solicit feedback. Most respondents agreed or strongly agreed that each RM represented a realistic progression of knowledge, skills, and behaviors, and that the set of milestones adequately discriminated between meaningful levels of competency. Similarly, respondents felt that the supplemental guide was a useful resource. The result is a set of carefully developed and broadly vetted RMs that represent a progression of development for HPM physicians during one year of clinical fellowship training.
继续向基于能力的教育转变，临终关怀和姑息医学（HPM）研究员计划于 2014 年开始为内科亚专业使用无上下文报告里程碑（RMs），但很快认识到它们不能反映该领域的细微实践。本文描述了通过共识小组流程和 HPM 教育者审查确定的 20 个特定于亚专业的 RMs 的开发。一组内容专家使用 2017 年 12 月至 2019 年 2 月之间的迭代共识建立过程起草新的 RMs，并创建了一份补充指南，该指南概述了每个 RM 的意图、每个发展轨迹的示例、评估方法和指导教育者的资源。直接联系了方案主任、方案协调员和指定机构官员以征求反馈意见。大多数受访者同意或强烈同意每个 RM 代表了知识、技能和行为的现实进展，并且里程碑集足以区分有意义的能力水平。同样，受访者认为补充指南是一个有用的资源。其结果是一套精心制定和广泛审查的 RMs，代表了 HPM 医师在一年临床研究员培训期间的发展进展。
