Lee Chen-Wei, Chen Guan-Liang, Lee Yi-Kung
Buddhist Tzu Chi Medical Foundation Department of Emergency Medicine, Dalin Tzu Chi Hospital Chiayi Taiwan.
National Chung Cheng University Center for Innovative Research on Aging Society Chiayi Taiwan.
J Acute Med. 2020 Sep 1;10(3):115-125. doi: 10.6705/j.jacme.202009_10(3).0003.
To carry out competency-based medical education, this study has established five Entrustable Professional Activities (EPAs) for the emergency medicine residents. The EPAs involve substantial data collection, which requires integration and analysis for the fi nal interpretation. Therefore, the "EPAs-Based e-Portfolio System" has been developed for assisting users to perform ad-hoc assessment, recording of a discussion, teaching, and feedback. The purpose of this study is to examine, from the perspective of the Technology Acceptance Model, residents and clinicians' experience of the EPAs-Based e-Portfolio System, including the use of functions such as recording, feedback, and assessment, as well as the impact thereof.
This study uses in-depth interviews as a means of data collection. The interviewees are from emergency medicine training hospitals in north, central, and south Taiwan-11 resident doctors and nine medical teachers.
The interviewees agree that (1) the EPAs-based e-Portfolio System provides users with a complete learning trajectory record through cloudization and ease of use; (2) it can assist users to gain feedback, case review, and reflection; (3) information on user status can reflect their learning progress, competencies, and performance; (4) other potential functions that can be added include shortcut keys, initiation of assessment sheets by a learner, feedback to teacher's comment, and voice/picture input.
The results of this study indicate that the easier a system is for users to use, the more helpful they will consider it and the more positive they will be, which will then translate into greater willingness to use the system and higher frequency of actual use. The system can authentically reflect trainees' professional capabilities if the ad-hoc teaching and feedback in the clinical setting connect strongly with the online assessment and recording.
为开展基于胜任力的医学教育，本研究为急诊医学住院医师制定了五项可托付专业活动（EPA）。这些EPA涉及大量数据收集，需要进行整合和分析以便最终解读。因此，开发了“基于EPA的电子档案袋系统”来协助用户进行临时评估、记录讨论、教学和反馈。本研究的目的是从技术接受模型的角度，考察住院医师和临床医生对基于EPA的电子档案袋系统的体验，包括对记录、反馈和评估等功能的使用情况及其影响。
本研究采用深度访谈作为数据收集方法。访谈对象来自台湾北部、中部和南部的急诊医学培训医院——11名住院医师和9名医学教师。
受访者一致认为：（1）基于EPA的电子档案袋系统通过云端化和易用性为用户提供了完整的学习轨迹记录；（2）它可以协助用户获得反馈、病例回顾和反思；（3）用户状态信息可以反映他们的学习进度、能力和表现；（4）可以添加的其他潜在功能包括快捷键、学习者发起评估表、对教师评论的反馈以及语音/图片输入。
本研究结果表明，系统对用户来说越容易使用，他们就会认为它越有帮助且越积极，进而会转化为更高的系统使用意愿和实际使用频率。如果临床环境中的临时教学和反馈与在线评估和记录紧密相连，该系统可以真实地反映受训者的专业能力。
