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基于胜任力的医学教育:加拿大儿科麻醉医生准备好了吗?

Competency-Based Medical Education: Are Canadian Pediatric Anesthesiologists Ready?

作者信息

Bailey Katherine, West Nicholas C, Matava Clyde

机构信息

Department of Anesthesia, BC Children's Hospital, Vancouver, CAN.

Research Institute, BC Children's Hospital, Vancouver, CAN.

出版信息

Cureus. 2022 Feb 17;14(2):e22344. doi: 10.7759/cureus.22344. eCollection 2022 Feb.

Abstract

Background With the introduction of Competency-Based Medical Education (CBME), the Canadian Pediatric Anesthesia Society (CPAS) surveyed its members to assess their awareness of and prior experience with CBME concepts and evaluation tools, and identify methods for faculty development of CBME teaching strategies for pediatric anesthesia residents and fellows. Methods An online survey was sent to CPAS members. Outcomes included respondents' previous exposure to CBME and the educational support they had received in anticipation of the curriculum. Questions used multi-item Likert scales and a general feedback question.  Results The response rate was 39% (60/155). Eighty-eight percent of respondents spent ≥50% of their time practicing pediatric anesthesia; 78% and 45% spent at least a quarter of their time teaching residents and fellows respectively. Eighty-three percent were familiar with CBME concepts, and 58% were familiar with Milestones, Competencies, and Entrustable Professional Activities (EPAs). However, 64% had not received any formal training and 52% had not used any CBME evaluation tools. Learning preferences included small group discussions (72%), lectures with questions and answers (Q&A) (62%), seminars (50%), and workshops (50%). Conclusions Despite widespread awareness of CBME concepts, there is a need to educate Canadian pediatric anesthesiologists regarding CBME evaluation tools. Faculty development support will increase the utilization of these tools in teaching practice.

摘要

背景 随着基于胜任力的医学教育(CBME)的引入,加拿大儿科麻醉学会(CPAS)对其成员进行了调查,以评估他们对CBME概念和评估工具的认识及先前经验,并确定针对儿科麻醉住院医师和研究员开展CBME教学策略师资培训的方法。方法 向CPAS成员发送了一份在线调查问卷。结果包括受访者先前接触CBME的情况以及他们在课程准备过程中获得的教育支持。问题采用多项李克特量表和一个一般性反馈问题。结果 回复率为39%(60/155)。88%的受访者将≥50%的时间用于儿科麻醉实践;78%和45%的受访者分别将至少四分之一的时间用于带教住院医师和研究员。83%的人熟悉CBME概念,58%的人熟悉里程碑、胜任力和可托付专业活动(EPA)。然而,64%的人未接受过任何正式培训,52%的人未使用过任何CBME评估工具。学习偏好包括小组讨论(72%)、带问答环节的讲座(62%)、研讨会(50%)和工作坊(50%)。结论 尽管CBME概念广为人知,但仍有必要对加拿大儿科麻醉医生进行CBME评估工具方面的教育。师资培训支持将提高这些工具在教学实践中的利用率。

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