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手术性能评估与反馈的进展

Advancements in Surgical Performance Evaluation and Feedback.

作者信息

Kraft Kate H

机构信息

Department of Urology, University of Michigan, 1500 E. Medical Center Drive, SPC 5330, Ann Arbor, MI, 48105, USA.

出版信息

Curr Urol Rep. 2023 Jan;24(1):11-15. doi: 10.1007/s11934-022-01134-5. Epub 2022 Nov 17.

Abstract

PURPOSE OF REVIEW

How today's urology trainees acquire surgical skills has changed dramatically due to multiple forces placing strain on the graduate medical education mission. The development of workplace-based assessments that deliver feedback while capturing performance data has led to a paradigm shift toward individualized learning.

RECENT FINDINGS

Delivering feedback that drives surgical skill development requires the educator to provide a meaningful assessment of the learner after an operative experience. Workplace-based assessment involves direct observation of routine clinical practice and has become a central component of competency-based medical education. Urology has the chance to fully embrace competency-based medical education, employing robust feedback mechanisms and workplace-based assessments. We must first define what it means to be a proficient urologist and design an assessment system that captures this collective sentiment. This can only be done through effective engagement and collaboration with stakeholders across our specialty.

摘要

综述目的

由于多种因素给毕业后医学教育任务带来压力,如今泌尿外科住院医师获取手术技能的方式已发生了巨大变化。基于工作场所的评估在收集绩效数据的同时提供反馈,这导致了向个性化学习的范式转变。

最新发现

提供推动手术技能发展的反馈要求教育者在手术体验后对学习者进行有意义的评估。基于工作场所的评估包括对常规临床实践的直接观察,已成为基于胜任力的医学教育的核心组成部分。泌尿外科有机会全面接受基于胜任力的医学教育,采用强大的反馈机制和基于工作场所的评估。我们必须首先定义成为一名熟练泌尿外科医生的意义,并设计一个能体现这种集体观点的评估系统。这只能通过与本专业的利益相关者进行有效互动与合作来实现。

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