Franklin Patricia D, Drane Denise
Department of Medical Social Sciences, Feinberg School of Medicine Northwestern University Chicago Illinois USA.
Program Evaluation Core & Searle Center for Advancing Learning and Teaching Northwestern University Chicago Illinois USA.
Learn Health Syst. 2023 Jul 31;8(1):e10381. doi: 10.1002/lrh2.10381. eCollection 2024 Jan.
Seven knowledge domains were originally defined for the learning health system (LHS) scientist. To assess proficiency in each of these domains, we developed and published an assessment tool for use by emerging LHS scientists and training programs. (LHS, October 2022). In mid-2022, the AHRQ adopted an eighth LHS knowledge domain, Equity and Justice. The addition of this eighth domain emphasizes the importance and centrality of equity in the LHS and improvement science. To extend our prior LHS competency assessment, we developed a proficiency assessment for the new equity and justice domain. Content experts and trainees iteratively defined, reviewed, and edited the assessment criteria. The items were developed by trainees and experts at one LHS training center with experience conducting research focused on healthcare inequities among marginalized populations. The proficiency assessment criteria for the Equity domain apply the same four levels of mastery: "no exposure," "foundational awareness," "emerging," and "proficient" as were used for original competencies. LHS training programs can use these proficiency criteria to monitor skills among emerging scientists across the eight domains, with particular attention to equity and justice.
学习健康系统（LHS）科学家最初被定义了七个知识领域。为了评估在这些领域中的每一个领域的熟练程度，我们开发并发布了一种评估工具，供新兴的LHS科学家和培训项目使用。（LHS，2022年10月）。2022年年中，美国医疗保健研究与质量局（AHRQ）采用了第八个LHS知识领域，即公平与正义。这第八个领域的增加强调了公平在LHS和改进科学中的重要性和核心地位。为了扩展我们之前的LHS能力评估，我们为新的公平与正义领域开发了一种熟练程度评估。内容专家和学员反复定义、审查和编辑了评估标准。这些项目由一个LHS培训中心的学员和专家开发，他们在进行针对边缘化人群医疗保健不平等问题的研究方面具有经验。公平领域的熟练程度评估标准采用与原始能力相同的四个掌握水平：“无接触”、“基本意识”、“新兴”和“熟练”。LHS培训项目可以使用这些熟练程度标准来监测新兴科学家在八个领域的技能，尤其要关注公平与正义。
