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使用逻辑模型框架对加拿大麻醉学住院医师研究计划进行基准测试,以符合国家规范:一项质量改进研究。

Benchmarking a Canadian Anesthesiology Resident Research Program against national norms using a logic model framework: a quality improvement study.

机构信息

Department of Anesthesiology, Perioperative Medicine and Pain Management, College of Medicine, University of Saskatchewan, Saskatchewan, Canada.

Department of Anesthesiology, Perioperative and Pain Medicine, Max Rady College of Medicine, University of Manitoba, Manitoba, Canada.

出版信息

Can Med Educ J. 2023 Mar 21;14(1):108-116. doi: 10.36834/cmej.75306. eCollection 2023 Mar.

Abstract

BACKGROUND

Canadian specialty training programs are expected to deliver curriculum content and assess competencies related to the CanMEDS Scholar role. We evaluated our residency research program and benchmarked it against national norms for quality improvement purposes.

METHODS

In 2021 we reviewed departmental curriculum documents and surveyed current and recently graduated residents. We applied a logic model framework to assess if our program's inputs, activities, and outputs addressed the relevant CanMeds Scholar competencies. We then descriptively benchmarked our results against a 2021 environmental scan of Canadian anesthesiology resident research programs.

RESULTS

Local program content was successfully mapped to competencies. The local survey response rate was 40/55 (73%). In benchmarking, our program excelled in providing milestone-related assessments, research funding, administrative, supervisory, and methodologic support, and requiring a literature review, proposal presentation, and local abstract submission as output. Acceptable activities to meet research requirements vary greatly among programs. Balancing competing clinical and research responsibilities was a frequently reported challenge.

CONCLUSIONS

The logic model framework was easily applied and demonstrated our program benchmarked well against national norms. National level dialogue is needed to develop specific, consistent scholar role activities and competency assessments to bridge the gap between expected outcome standards and education practice.

摘要

背景

加拿大专业培训项目预计将提供与 CanMEDS 学者角色相关的课程内容并评估相关能力。我们评估了我们的住院医师研究项目,并将其与全国质量改进标准进行基准比较。

方法

在 2021 年,我们审查了部门课程文件并调查了当前和最近毕业的住院医师。我们应用逻辑模型框架来评估我们的计划的投入、活动和产出是否解决了相关的 CanMeds 学者能力。然后,我们根据 2021 年对加拿大麻醉学住院医师研究项目的环境扫描对结果进行了描述性基准比较。

结果

当地的项目内容成功地与能力相匹配。当地的调查回复率为 40/55(73%)。在基准比较中,我们的计划在提供与里程碑相关的评估、研究资金、行政、监督和方法支持以及要求文献综述、提案演示和本地摘要提交作为产出方面表现出色。满足研究要求的可接受活动在各个项目之间差异很大。平衡临床和研究职责之间的竞争是一个经常被报道的挑战。

结论

逻辑模型框架易于应用,并展示了我们的计划与国家规范的良好基准比较。需要进行国家层面的对话,以制定具体、一致的学者角色活动和能力评估,以缩小预期结果标准和教育实践之间的差距。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c77/10042791/fcb82c8f405c/CMEJ-14-108-g001.jpg

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