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[汉堡-埃彭多夫大学医学中心本科牙科培训“iMED DENT”模式中的可托付专业活动(EPAs)]

[Entrustable professional activities (EPAs) in the "iMED DENT" model of undergraduate dental training at the University Medical Center Hamburg-Eppendorf].

作者信息

Heydecke Guido, Mirzakhanian Christine

机构信息

Poliklinik für Zahnärztliche Prothetik, Zentrum für Zahn‑, Mund- und Kieferheilkunde, Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Deutschland.

出版信息

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2023 Dec;66(12):1372-1379. doi: 10.1007/s00103-023-03803-3. Epub 2023 Nov 14.

Abstract

In dental education, the assessment of clinical activities is especially important, as students start to perform treatments on real patients beginning in the seventh semester. When entering the final exam, students must be capable of carrying out all treatments of a dental professional, as they will exercise their profession as dentists directly after the exam. During dental training, preparation for the performance of dental activities in a clinical context is achieved through preclinical coursework and early patient contact before the seventh semester to enhance competencies. In the course of developing the iMED DENT curriculum of undergraduate dental training at the University Medical Center Hamburg-Eppendorf (UKE), a catalogue of entrustable professional activities (EPAs) has been defined. An EPA comprises a clinical procedure (e.g., fitting of a crown) corresponding to the students' level of competency at the time of performance. Each EPA includes teaching within the three core competencies: "theoretical knowledge," "clinical skills," and "patient communication." The applied assessment formats have to ensure that the feedback given on clinical performance contains all relevant competencies. The EPAs are evaluated using a graded "ABCD assessment" scheme (A = very good, B = good, C = bad, D = activity was not completed/incomplete). The assessment scheme serves as a tool for feedback to improve learning success and at the same time for evaluation of examinations during the course of studies.

摘要

在牙科教育中,临床活动的评估尤为重要,因为学生从第七学期开始就对真实患者进行治疗。进入期末考试时,学生必须能够开展牙科专业人员的所有治疗工作,因为考试结束后他们将直接从事牙医职业。在牙科培训期间,通过临床前课程作业以及在第七学期之前尽早与患者接触来为临床环境中的牙科活动表现做准备,以提高能力。在汉堡 - 埃彭多夫大学医学中心(UKE)制定本科牙科培训的iMED DENT课程过程中,已经定义了一份可托付专业活动(EPA)目录。一项EPA包括一项与学生在执行时的能力水平相对应的临床程序(例如,安装牙冠)。每项EPA都包括在“理论知识”、“临床技能”和“患者沟通”这三项核心能力方面的教学。所采用的评估形式必须确保对临床操作给出的反馈包含所有相关能力。EPA采用分级的“ABCD评估”方案进行评估(A = 非常好,B = 好,C = 差,D = 活动未完成/不完整)。该评估方案作为一种反馈工具,用于提高学习成效,同时在学习过程中对考试进行评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/874c/10667494/5d96dc457ea1/103_2023_3803_Fig1_HTML.jpg

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