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可托付专业活动在麻醉学住院医师胜任力导向医学教育中的作用:试点阶段

The Role of Entrustable Professional Activities in Competency-based Medical Education for Anesthesiology Residents: A Pilot Phase.

作者信息

Dabbagh Ali, Fadaeizadeh Lida, Gharaei Babak, Ghasemi Mahshid, Kamranmanesh Mohammadreza, Khorasanizadeh Shayesteh, Massoudi Nilofar, Mahdavi Seyed Alireza, Memary Elham, Moshari Mohammadreza, Nashibi Masoud, Sezari Parissa, Vosoughian Maryam

机构信息

Anesthesiology Department, Anesthesiology Research Center, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of Anesthesiology, School of Medicine, Telemedicine Research Center, National Research Institute of Tuberculosis and Lung Diseases, Dr. Masih Daneshvari Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Anesth Pain Med. 2022 Nov 26;12(5):e130176. doi: 10.5812/aapm-130176. eCollection 2022 Oct.

Abstract

BACKGROUND

After graduation, physicians should be able to provide professional and safe services without the need for supervision by their clinical professors, mandating a competency-based medical education (CBME) approach.

OBJECTIVES

This study aimed to develop a national model of entrustable professional activities (EPAs) based on our experiences in the Department of Anesthesiology and Critical Care (DACC), Shahid Beheshti University of Medical Sciences (SBMU).

METHODS

The primary EPA design plan was designed in a 10-step model as a career roadmap for the project. The texts were prepared according to a consensus-based approach. On the other hand, the texts were reviewed and revised by a broad team of faculty in a daily workshop.

RESULTS

The final product included 14 topics for EPA as the first round of targeting topics for anesthesiology residents. The texts were developed using previous studies and were standardized considering national standards.

CONCLUSIONS

We described a clear path toward designing and implementing EPAs in anesthesiology residency programs to improve the quality of the graduated residents. Though the basic theory is the same, each country needs its formula for implementing the process.

摘要

背景

毕业后,医生应能够在无需临床教授监督的情况下提供专业且安全的服务,这就需要采用基于能力的医学教育(CBME)方法。

目的

本研究旨在基于沙希德·贝赫什提医科大学(SBMU)麻醉与重症医学系(DACC)的经验,开发一个全国性的可托付专业活动(EPA)模型。

方法

主要的EPA设计方案采用10步模型设计,作为该项目的职业路线图。文本是根据基于共识的方法编写的。另一方面,文本在每日研讨会上由广泛的教师团队进行审查和修订。

结果

最终成果包括14个EPA主题,作为麻醉住院医师的首轮目标主题。文本是利用先前的研究编写的,并根据国家标准进行了标准化。

结论

我们描述了一条在麻醉住院医师培训项目中设计和实施EPA的清晰路径,以提高毕业住院医师的质量。虽然基本理论相同,但每个国家都需要自己的实施流程方案。

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