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继续职业发展为麻醉医师:系统综述方案。

Continuing professional development for anesthesiologists: A systematic review protocol.

机构信息

Department of Day Case Surgery, Copenhagen University Hospital - Amager and Hvidovre Hospital, Hvidovre, Denmark.

Copenhagen Academy for Medical Education and Simulation (CAMES), Center for HR and Education, Copenhagen, Denmark.

出版信息

Acta Anaesthesiol Scand. 2022 Jan;66(1):152-155. doi: 10.1111/aas.13989. Epub 2021 Nov 7.

DOI:10.1111/aas.13989
PMID:34599599
Abstract

BACKGROUND

Regulators increasingly use formalized programs that are based on continuing professional development (CPD) activities to ensure that physicians are fit to practice. There is convincing evidence regarding the positive effects of CPD activities on performance and patient outcomes. However, there is limited available studies, investigating its effect in anesthesia, specifically. Moreover, although there exists considerable evidence linking specific CPD activities to improved performance, only few studies have investigated the effect of combinations of activities, or formalized systems, as a whole. Consequently, to address this uncertainty regarding the impact of CPD activities, within anesthesiology, this systematic review aims to establish which activities anesthesiologists are engaged in and their impact on clinical competence and subsequent patient outcomes.

METHODS

A systematic review of the current literature regarding CPD for fully qualified anesthesiologists will be undertaken. Characteristics of the included studies will be summarized descriptively, and the screening process will be outlined using the preferred reporting items for systematic reviews and meta-analysis flow diagram. Given the diverse methods adopted within medical education research, it is anticipated that there will be significant heterogeneity between the included studies and therefore, a meta-analysis will not be possible and a narrative synthesis approach will be usd. The outcomes of interest include type of CPD learning activity and/or assessment method anesthesiologists are engaged in; and their effectiveness, either as standalone activities or as part of formalized systems.

CONCLUSION

The aim of the study was to give an overview of the breadth and nature of CPD activities, and their effects on fully qualified anesthesiologists' clinical competences and patient outcomes.

摘要

背景

监管机构越来越多地使用基于持续专业发展(CPD)活动的正式计划,以确保医生具备执业能力。CPD 活动对绩效和患者结局的积极影响有令人信服的证据。然而,关于其在麻醉学中的影响的研究有限,特别是。此外,尽管有相当多的证据将特定的 CPD 活动与绩效提高联系起来,但只有少数研究调查了活动的组合或整个正式系统的效果。因此,为了解决麻醉学中 CPD 活动影响的这一不确定性,本系统评价旨在确定麻醉师参与的活动及其对临床能力和随后的患者结局的影响。

方法

将对完全合格的麻醉师的 CPD 进行系统评价。将描述性地总结纳入研究的特征,并使用系统评价和荟萃分析流程图概述筛选过程。鉴于医学教育研究中采用的方法多种多样,预计纳入研究之间存在显著异质性,因此不可能进行荟萃分析,将采用叙述性综合方法。感兴趣的结果包括麻醉师参与的 CPD 学习活动和/或评估方法的类型;以及它们作为独立活动或作为正式系统的一部分的有效性。

结论

该研究旨在概述 CPD 活动的广度和性质,以及它们对完全合格的麻醉师的临床能力和患者结局的影响。

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