Hudson L D, Benson J A
American Board of Internal Medicine, Portland, Oregon 97201.
Am Rev Respir Dis. 1988 Oct;138(4):1034-5. doi: 10.1164/ajrccm/138.4.1034.
The American Board of Internal Medicine has called upon directors of pulmonary disease training programs to establish systems to evaluate, document, and substantiate those components of overall clinical competence considered essential for certification in the subspecialty. Many of these can be assessed only by repeated direct observations. In particular, proficiency is now required in endotracheal intubation, fiberoptic bronchoscopy, mechanical ventilatory support, thoracentesis and percutaneous pleural biopsy, percutaneous arterial puncture, vascular monitoring, calibration and operation of hemodynamic recording systems, and supervision of the technical aspects of pulmonary function testing. The goal of this expanded evaluation program is to ensure that the public and the profession can identify through certification, physicians with demonstrated excellence in the practice of pulmonology.
美国内科医学委员会呼吁肺病培训项目主任建立系统，以评估、记录和证实那些被认为是该亚专业认证所必需的整体临床能力组成部分。其中许多只能通过反复直接观察来评估。特别是现在要求在内镜插管、纤维支气管镜检查、机械通气支持、胸腔穿刺和经皮胸膜活检、经皮动脉穿刺、血管监测、血流动力学记录系统的校准和操作以及肺功能测试技术方面的监督等方面具备熟练技能。这一扩展评估项目的目标是确保公众和专业人士能够通过认证识别出在肺病实践中表现卓越的医生。
