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腹腔镜手术的可委托专业活动:迈向综合培训模式。

The entrustable professional activities of laparoscopic surgery: moving toward an integrated training model.

机构信息

Institute of Health Sciences Education, McGill University, Montreal, Canada.

Faculty of Medicine and Health Sciences, Institute of Health Sciences Education, McGill University, Lady Meredith House, 1110 Pine Avenue West, Montreal, Quebec, H3A 1A3, Canada.

出版信息

Surg Endosc. 2023 Jul;37(7):5335-5339. doi: 10.1007/s00464-023-10022-z. Epub 2023 Mar 29.

DOI:10.1007/s00464-023-10022-z
PMID:36988666
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10054191/
Abstract

BACKGROUND

Entrustable Professional Activities (EPAs) provide the opportunity to integrate multiple competencies into meaningful units that facilitate curriculum development and assessment design. As part of the process of reviewing and enhancing the Fundamentals of Laparoscopic of Surgery (FLS) program, we used the concept of EPAs to create a framework of reference that articulates a contemporary definition of Laparoscopic Surgery (LS).

METHODS

The framework of reference of LS was created with data gathered from a literature review and during series of educational retreats with subject matter experts (SMEs). Various activities were implemented during these retreats to develop the LS EPAs, their constitutive competencies, and related observable behaviors.

RESULTS

Ten EPAs and associated competency descriptors (articulated as observable behaviors) specific to LS were identified. In addition, knowledge areas were associated to each EPA.

DISCUSSION

A comprehensive list of EPAs for LS were identified. These EPAs will be used in the development and update of the FLS program. Further, they can be used to guide the development of curriculum, clinical teaching, and assessment in any surgical program with a laparoscopic training component. They are applicable to any level of training by defining the expected observable behaviors associated with a given level of expertise. These fundamental aspects of LS provide a common framework of reference across different surgical specialties.

摘要

背景

可委托的专业活动 (EPAs) 提供了将多项能力整合到有意义的单元中的机会,从而促进课程开发和评估设计。作为审查和增强腹腔镜手术基础 (FLS) 计划的过程的一部分,我们使用 EPA 的概念创建了一个参考框架,阐明了腹腔镜手术 (LS) 的当代定义。

方法

LS 的参考框架是使用文献综述和与主题专家 (SME) 进行的一系列教育务虚会中收集的数据创建的。在这些务虚会上,实施了各种活动来开发 LS EPA、其构成能力和相关可观察行为。

结果

确定了十个与 LS 相关的 EPA 及其相关的能力描述符(表现为可观察行为)。此外,还为每个 EPA 关联了知识领域。

讨论

确定了一份全面的 LS EPA 清单。这些 EPA 将用于 FLS 计划的开发和更新。此外,它们可以用于指导任何具有腹腔镜培训组件的外科计划的课程开发、临床教学和评估。它们适用于任何培训水平,通过定义与给定专业水平相关的预期可观察行为来定义。这些 LS 的基本方面为不同外科专业提供了一个共同的参考框架。

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本文引用的文献

1
Creating a shared mental model for EPAs in surgery.为外科领域的可托付专业活动创建共享心智模型。
Am J Surg. 2020 Jul;220(1):2-3. doi: 10.1016/j.amjsurg.2020.04.032. Epub 2020 Apr 30.
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When I say … entrustability.当我说……可委托性。
Med Educ. 2020 Feb;54(2):103-104. doi: 10.1111/medu.14005. Epub 2019 Nov 19.
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Entrustable Professional Activities in General Surgery: Development and Implementation.普通外科的可委托专业活动:发展与实施。
J Surg Educ. 2019 Sep-Oct;76(5):1174-1186. doi: 10.1016/j.jsurg.2019.04.003. Epub 2019 Apr 25.
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How clinical supervisors develop trust in their trainees: a qualitative study.临床督导如何培养对其学员的信任:一项定性研究。
Med Educ. 2015 Aug;49(8):783-95. doi: 10.1111/medu.12745.
5
What if the 'trust' in entrustable were a social judgement?如果可委托事项中的“信任”是一种社会判断会怎样?
Med Educ. 2015 Aug;49(8):750-2. doi: 10.1111/medu.12772.
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Celebrating a decade of innovation in surgical education.庆祝外科教育领域十年创新。
Bull Am Coll Surg. 2014 Nov;99(11):10-5.
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AM last page: what entrustable professional activities add to a competency-based curriculum.最后一页:可托付专业活动给基于能力的课程增添了什么。
Acad Med. 2014 Apr;89(4):691. doi: 10.1097/ACM.0000000000000161.
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Nuts and bolts of entrustable professional activities.可托付专业活动的基本要素。
J Grad Med Educ. 2013 Mar;5(1):157-8. doi: 10.4300/JGME-D-12-00380.1.
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Identifying entrustable professional activities in internal medicine training.确定内科培训中可委托的专业活动。
J Grad Med Educ. 2013 Mar;5(1):54-9. doi: 10.4300/JGME-D-12-00060.1.
10
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J Grad Med Educ. 2013 Mar;5(1):6-7. doi: 10.4300/JGME-D-12-00381.1.