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基于能力的教育在韩国麻醉住院医师培训计划中的应用及调查分析。

Application of competency-based education in the Korean anesthesiology residency program and survey analysis.

机构信息

Department of Anesthesiology and Pain Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea.

出版信息

Korean J Anesthesiol. 2023 Apr;76(2):135-142. doi: 10.4097/kja.22383. Epub 2022 Aug 4.

Abstract

BACKGROUND

Although competency-based education (CBE) is becoming a popular form of medical education, it has not been used to train residents. Recently, the Korean Society of Anesthesiologists completed a pilot implementation and evaluation of a CBE program.This study aims to outline the experience.

METHODS

The chief training faculty from each hospital took a one-hour online course about CBE. Emails on the seven core competencies and their evaluation were sent ahead of a pilot core competency evaluation (CCE) to residents and faculty. The pilot CCE took place in late 2021, followed by a survey.

RESULTS

A total of 68 out of 84 hospitals participated in the pilot CCE. The survey response rate was 55.9% (38/68) for chief training faculty, 10.2% (91/888) for training faculty, and 30.2% (206/683) for residents. More than half of the training faculty thought that CCE was necessary for the education of residents. Residents' and training faculty's responses about CCE were generally positive, although their understanding of CCE criteria was low. More than 80% of the hospitals had a defibrillator and cardiopulmonary resuscitation manikin while the rarest piece of equipment was an ultrasound vessel model. Only defibrillators were used in more than half of the hospitals. Thoughts about CCE were related to various factors, such as length of employment, location of hospitals, and the number of residents per grade.

CONCLUSIONS

This study's results may be helpful in improving resident education quality to meet the expectations of both teaching faculty and residents while establishing CBE.

摘要

背景

尽管基于能力的教育(CBE)正在成为一种流行的医学教育形式,但它尚未用于培训住院医师。最近,韩国麻醉师学会完成了 CBE 计划的试点实施和评估。本研究旨在概述相关经验。

方法

每家医院的首席培训教员参加了一个关于 CBE 的一小时在线课程。在试点核心能力评估(CCE)之前,向住院医师和教员发送了有关七个核心能力及其评估的电子邮件。试点 CCE 于 2021 年末进行,随后进行了一项调查。

结果

共有 84 家医院中的 68 家参加了试点 CCE。首席培训教员的调查回复率为 55.9%(38/68),培训教员为 10.2%(91/888),住院医师为 30.2%(206/683)。超过一半的培训教员认为 CCE 对住院医师的教育是必要的。住院医师和培训教员对 CCE 的反应总体上是积极的,尽管他们对 CCE 标准的理解程度较低。超过 80%的医院配备了除颤器和心肺复苏模型,而最稀有的设备是超声血管模型。只有一半以上的医院使用了除颤器。对 CCE 的想法与各种因素有关,例如任职时间、医院位置和每个年级的住院医师人数。

结论

本研究的结果可能有助于提高住院医师教育质量,以满足教学教员和住院医师的期望,同时建立 CBE。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6b3/10079002/3d7f45f3a19c/kja-22383f1.jpg

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