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新冠疫情后可委托专业活动中的自主性:住院医师和教师的观点。

Autonomy in entrustable professional activities after the COVID-19 pandemic: the perspectives of residents and teachers.

机构信息

Department of Pediatrics, Hospital Italiano de Buenos Aires, City of Buenos Aires, Argentina.

Instituto Universitario Hospital Italiano de Buenos Aires, City of Buenos Aires, Argentina.

出版信息

Arch Argent Pediatr. 2023 Oct 1;121(5):e202302996. doi: 10.5546/aap.2023-02996.eng. Epub 2023 Aug 24.

Abstract

Introduction. The entrustable professional activities (EPAs) are 13 activities that new medical graduates should be able to perform without direct supervision. Our objective was to assess the perceptions of residents and teachers regarding their autonomy to perform the EPAs 2 years after the onset of the COVID-19 pandemic. Materials and methods. Cross-sectional study of first-year residents of clinical and surgical specialties and their teachers. Electronic, anonymous questionnaires were used. Results. Subjects were 31 residents and 20 teachers. Most residents believed that they were able to perform 8 of the 13 EPAs independently. According to most teachers, residents required direct supervision to perform 11 of the 13 EPAs. Significant differences were observed between residents' and teachers' perceptions in 8 of the 13 EPAs. Conclusion. The perception of autonomy to perform the EPAs in the beginning of the residency program was considerably better among residents than their teachers.

摘要

引言。委托专业活动(EPAs)是指新医学毕业生在没有直接监督的情况下应该能够完成的 13 项活动。我们的目的是评估居民和教师在 COVID-19 大流行开始两年后对执行 EPAs 的自主权的看法。

材料和方法。对临床和外科专业的一年级住院医师及其教师进行横断面研究。使用电子匿名问卷。

结果。研究对象为 31 名住院医师和 20 名教师。大多数住院医师认为他们能够独立完成 13 项 EPA 中的 8 项。根据大多数教师的说法,居民需要直接监督才能完成 13 项 EPA 中的 11 项。在 13 项 EPA 中的 8 项中,居民和教师的看法存在显著差异。

结论。在住院医师培训计划开始时,居民对执行 EPA 的自主权的看法明显好于他们的教师。

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