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哪些方面的 CanMEDS 能力在放射科医生中最有价值?来自其他专业的学员的观点。

Which Aspects of the CanMEDS Competencies are Most Valued in Radiologists? Perspectives of Trainees From Other Specialties.

机构信息

Department of Radiology, McMaster University, Hamilton Health Sciences - Juravinski Hospital and Cancer Centre, Hamilton, Ontario, Canada.

McMaster University - Michael G. DeGroote School of Medicine, Hamilton, Ontario, Canada.

出版信息

Can Assoc Radiol J. 2022 Feb;73(1):30-37. doi: 10.1177/08465371211008649. Epub 2021 Apr 28.

Abstract

PURPOSE

Radiologists work primarily in collaboration with other healthcare professionals. As such, these stakeholder perspectives are of value to the development and assessment of educational outcomes during the transition to competency-based medical education. Our aim in this study was to determine which aspects of the Royal College CanMEDS competencies for diagnostic radiology are considered most important by future referring physicians.

METHODS

Institutional ethics approval was obtained. After pilot testing, an anonymous online survey was sent to all residents and clinical fellows at our university. Open-ended questions asked respondents to describe the aspects of radiologist service they felt were most important. Thematic analysis of the free-text responses was performed using a grounded theory approach. The resulting themes were mapped to the 2015 CanMEDS Key Competencies.

RESULTS

115 completed surveys were received from residents and fellows from essentially all specialties and years of training (out of 928 invited). Major themes were 1) timeliness and accessibility of service, 2) quality of reporting, and 3) acting as a valued team member. The competencies identified as important by resident physicians were largely consistent with the CanMEDS framework, although not all key competencies were covered in the responses.

CONCLUSIONS

This study illustrates how CanMEDS roles and competencies may be exemplified in a concrete and specialty-specific manner from the perspective of key stakeholders. Our survey results provide further insight into specific objectives for teaching and assessing these competencies in radiology residency training, with the ultimate goal of improving patient care through strengthened communication and working relationships.

摘要

目的

放射科医生主要与其他医疗保健专业人员合作。因此,这些利益相关者的观点对于向基于能力的医学教育过渡期间教育成果的开发和评估具有价值。我们在这项研究中的目的是确定未来转诊医生认为皇家学院 CanMEDS 诊断放射学能力中哪些方面最重要。

方法

获得机构伦理批准。经过试点测试后,向我们大学的所有住院医师和临床研究员发送了匿名在线调查。开放式问题要求受访者描述他们认为放射科医生服务最重要的方面。使用扎根理论方法对自由文本回复进行主题分析。得出的主题与 2015 年 CanMEDS 关键能力相对应。

结果

从邀请的 928 人中,收到了来自住院医师和研究员的 115 份基本涵盖所有专业和培训年限的完整调查。主要主题是 1)服务的及时性和可及性,2)报告质量,和 3)作为有价值的团队成员。住院医师认为重要的能力在很大程度上与 CanMEDS 框架一致,尽管并非所有关键能力都在回复中涵盖。

结论

这项研究说明了 CanMEDS 角色和能力如何从关键利益相关者的角度以具体和专业特定的方式体现。我们的调查结果为放射科住院医师培训中教授和评估这些能力的具体目标提供了更多的见解,最终目标是通过加强沟通和工作关系来改善患者护理。

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