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更好床边教学的 EPA。

An EPA for better Bedside Teaching.

机构信息

Intensive Care Center, University Medical Center Utrecht, Utrecht, The Netherlands.

Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.

出版信息

Clin Teach. 2021 Aug;18(4):398-403. doi: 10.1111/tct.13346. Epub 2021 Mar 24.

Abstract

BACKGROUND

Bedside teaching (BST), a time-honoured tradition of clinical teaching which integrates theoretical knowledge and clinical practice, has declined steeply over the last decade. Moreover, many clinician teachers today are not specifically trained in and/or comfortable in delivering effective BST. Resucitating this valuable educational format may require a new approach to preparing teachers and setting the stage for effective BST. Framing BST as an entrustable professional activity (EPA) for teachers may be one strategy to enhance its application and quality.

METHODS

We aimed to redefine, describe essential features and effective practices for high-quality BST, based on clinical teacher participant perspectives through a focus group discussion and open-ended questionnaires via e-mail, supplemented by insights from literature.

RESULTS

Based on data collected, we generated a definition of BST and a list of suggested strategies to optimise BST, for example, preparation, safe learning environment, flexible teaching and patient's benefits. A structured EPA description was created based on this definition.

CONCLUSION

Effective BST requires skilled clinical teachers who are comfortable and confident in this mode of teaching; framing BST as a teaching EPA could guide faculty development and clinical teacher certification.

摘要

背景

床边教学(BST)是一种将理论知识与临床实践相结合的历史悠久的临床教学传统,在过去十年中急剧下降。此外,如今许多临床教师并没有接受过有效进行床边教学的专门培训和/或对此感到不自在。要恢复这种有价值的教育形式,可能需要一种新的方法来培训教师并为有效床边教学做好准备。将床边教学定义为教师的可委托专业活动(EPA)可能是提高其应用和质量的一种策略。

方法

我们旨在通过焦点小组讨论和电子邮件的开放式问卷,从临床教师参与者的角度重新定义、描述高质量床边教学的基本特征和有效实践,辅之以文献的见解。

结果

根据收集的数据,我们生成了床边教学的定义和优化床边教学的建议策略列表,例如,准备、安全的学习环境、灵活的教学和患者的受益。在此定义的基础上创建了一个结构化的 EPA 描述。

结论

有效的床边教学需要有技能的临床教师,他们对此种教学模式感到舒适和自信;将床边教学定义为教学 EPA 可以指导教师发展和临床教师认证。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3deb/8451813/b1ba1cf9dc02/TCT-18-398-g001.jpg

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