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研究生培训年对执行可托付专业活动的感知准备度的影响。

Effect of PGY Training Year on Perceived Readiness to Perform Entrustable Professional Activities.

作者信息

Murdoch William, Pryomski Nicholas, Delaney Nancy, Hulsemann Susan

机构信息

ProMedica Monroe Regional Hospital.

出版信息

MedEdPublish (2016). 2017 Oct 11;6:181. doi: 10.15694/mep.2017.000181. eCollection 2017.

DOI:10.15694/mep.2017.000181
PMID:38406412
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10885303/
Abstract

This article was migrated. The article was marked as recommended. Background The Family Medicine for America's Health (FMAH) collaborative approved a set of Entrustable Professional Activities (EPAs) for the specialty, designed to serve as a set of activities that all practitioners in the specialty can be expected to perform. The extent to which family medicine residents feel equipped to perform EPAs is not known. Objective To assess the extent to which family medicine residents in all three PGY years feel ready to perform Entrustable Professional Activities. Methods This spring, eighteen residents were asked to complete the "ProMedica Monroe Family Medicine Entrustable Professional Activities Survey," which asks residents, for all 20 EPAs, to 1) identify their readiness to perform the EPA on a 9-point Likert scale, and 2) endorse their level of PGY training. Results Fifteen of out eighteen eligible participants completed the survey. Mean readiness levels across EPAs were 5.23/9 for PGY1s, 7.27 for PGY2s, and 8.17 for PGY3s. Residents reported higher readiness levels with inpatient care (7.67) and relationship building (7.80), but lower levels with mental health care (5.87) and obstetrical care (5.07). Conclusions Residents perceive increases in readiness to perform family medicine EPAs with each PGY year. Resident readiness levels are broadly similar across EPAs, with few outliers.

摘要

本文已迁移。该文章被标记为推荐。背景:美国健康家庭医学(FMAH)协作组织批准了一套针对该专业的可托付专业活动(EPA),旨在作为该专业所有从业者都应能够执行的一系列活动。家庭医学住院医师感觉自己有能力执行EPA的程度尚不清楚。目的:评估所有三年住院医师培训项目(PGY)中的家庭医学住院医师准备好执行可托付专业活动的程度。方法:今年春天,18名住院医师被要求完成“普罗梅迪卡门罗家庭医学可托付专业活动调查”,该调查要求住院医师针对所有20项EPA,1)在9点李克特量表上确定他们执行该EPA的准备程度,2)认可他们的PGY培训水平。结果:18名符合条件的参与者中有15名完成了调查。PGY1住院医师在各项EPA上的平均准备程度为5.23/9,PGY2住院医师为7.27,PGY3住院医师为8.17。住院医师报告称,在住院护理(7.67)和建立关系(7.80)方面准备程度较高,但在心理健康护理(5.87)和产科护理(5.07)方面准备程度较低。结论:住院医师认为随着每一年的PGY培训,执行家庭医学EPA的准备程度有所提高。住院医师在各项EPA上的准备程度大致相似,几乎没有异常值。

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本文引用的文献

1
Toward a shared language for competency-based medical education.迈向基于能力的医学教育的共同语言。
Med Teach. 2017 Jun;39(6):582-587. doi: 10.1080/0142159X.2017.1315066.
2
Reflections on the First 2 Years of Milestone Implementation.关于里程碑实施头两年的思考
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3
From family medicine milestones to entrustable professional activities (EPAS).从家庭医学里程碑到可托付专业活动(EPAS)。
Ann Fam Med. 2014 Jul;12(4):380-1. doi: 10.1370/afm.1679.
4
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.