Division of Thoracic Surgery, University of Alberta, 8440 112 St, Edmonton, AB, T6G 2R7, Canada.
Division of General Surgery, University of Alberta, 8440 112 St, Edmonton, AB, T6G 2R7, Canada.
Am J Surg. 2021 Dec;222(6):1139-1145. doi: 10.1016/j.amjsurg.2021.01.045. Epub 2021 Feb 5.
There has been a recent call for formal competency assessments of practicing physicians and surgeons to form a framework of competency based continuing professional development (CBCPD).
An email questionnaire was conducted regarding CBCPD. Responses were further used to inform development of semi-structured interviews.
There were 58 questionnaire respondents (42%). There was moderate support for assessment of surgeons' technical skills (50.9%) or decision making (56.6%). Support was highest for a mechanism to flag surgeons in need of a focused competence assessment (83.0%). Eight surgeons participated in interviews. Interviews identified a range of benefits of CBCPD but also several challenges to implementation, including the need for fair, data-driven assessments, taking into account patient outcomes.
Through listening to surgeon concerns and recommendations for implementation strategies, this study's findings may support development of an effective CBCPD strategy with the potential to be embraced by surgeons and foster an environment of improved safety and performance.
最近有人呼吁对执业医师和外科医生进行正式的能力评估，以形成基于能力的持续专业发展（CBCPD）框架。
就 CBCPD 进行了电子邮件问卷调查。调查结果进一步用于为半结构化访谈的制定提供信息。
共有 58 名问卷受访者（42%）。对于评估外科医生的技术技能（50.9%）或决策能力（56.6%），有一定程度的支持。对于一种能够标记需要重点能力评估的外科医生的机制，支持率最高（83.0%）。八名外科医生参与了访谈。访谈确定了 CBCPD 的一系列益处，但也发现了实施过程中的一些挑战，包括需要公平、数据驱动的评估，同时考虑到患者的结果。
通过倾听外科医生的关注和实施策略的建议，本研究的结果可能支持制定有效的 CBCPD 策略，该策略有可能得到外科医生的认可，并营造一个提高安全性和绩效的环境。
