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基于能力的医学教育评估:当前实践的系统评价。

Evaluating competency-based medical education: a systematized review of current practices.

机构信息

Department of Medical Education, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.

King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.

出版信息

BMC Med Educ. 2024 Jun 3;24(1):612. doi: 10.1186/s12909-024-05609-6.

DOI:10.1186/s12909-024-05609-6
PMID:38831271
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11149276/
Abstract

BACKGROUND

Few published articles provide a comprehensive overview of the available evidence on the topic of evaluating competency-based medical education (CBME) curricula. The purpose of this review is therefore to synthesize the available evidence on the evaluation practices for competency-based curricula employed in schools and programs for undergraduate and postgraduate health professionals.

METHOD

This systematized review was conducted following the systematic reviews approach with minor modifications to synthesize the findings of published studies that examined the evaluation of CBME undergraduate and postgraduate programs for health professionals.

RESULTS

Thirty-eight articles met the inclusion criteria and reported evaluation practices in CBME curricula from various countries and regions worldwide, such as Canada, China, Turkey, and West Africa. 57% of the evaluated programs were at the postgraduate level, and 71% were in the field of medicine. The results revealed variation in reporting evaluation practices, with numerous studies failing to clarify evaluations' objectives, approaches, tools, and standards as well as how evaluations were reported and communicated. It was noted that questionnaires were the primary tool employed for evaluating programs, often combined with interviews or focus groups. Furthermore, the utilized evaluation standards considered the well-known competencies framework, specialized association guidelines, and accreditation criteria.

CONCLUSION

This review calls attention to the importance of ensuring that reports of evaluation experiences include certain essential elements of evaluation to better inform theory and practice.

摘要

背景

很少有已发表的文章全面概述了评估基于能力的医学教育(CBME)课程的现有证据。因此,本次综述的目的是综合评估本科和研究生健康专业人员学校和项目中使用的基于能力课程的评估实践的现有证据。

方法

本系统评价采用系统评价方法,对评估健康专业人员基于能力的本科和研究生课程的已发表研究的结果进行综合,略有修改。

结果

38 篇文章符合纳入标准,并报告了来自全球不同国家和地区的 CBME 课程的评估实践,如加拿大、中国、土耳其和西非。57%的评估项目处于研究生水平,71%的项目在医学领域。结果显示,报告评估实践存在差异,许多研究未能明确评估的目标、方法、工具和标准,以及如何报告和交流评估。值得注意的是,问卷是评估项目的主要工具,通常与访谈或焦点小组结合使用。此外,所使用的评估标准考虑了著名的能力框架、专业协会指南和认证标准。

结论

本综述提请注意确保评估经验报告包含评估的某些基本要素的重要性,以便更好地为理论和实践提供信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef20/11149276/48cb5db34275/12909_2024_5609_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef20/11149276/2fa382b50a37/12909_2024_5609_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef20/11149276/48cb5db34275/12909_2024_5609_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef20/11149276/2fa382b50a37/12909_2024_5609_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef20/11149276/48cb5db34275/12909_2024_5609_Fig2_HTML.jpg

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本文引用的文献

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The critical role of infrastructure and organizational culture in implementing competency-based education and individualized pathways in undergraduate medical education.基础设施和组织文化在实施本科医学教育的以能力为基础的教育和个体化途径中的关键作用。
Med Teach. 2021 Jul;43(sup2):S7-S16. doi: 10.1080/0142159X.2021.1924364.
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Context, Input, Process, and Product Evaluation Model in medical education: A systematic review.
伊拉克北部医学与健康科学教育中学生评估面临的挑战。
BMC Med Educ. 2025 Jul 14;25(1):1052. doi: 10.1186/s12909-025-07643-4.
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CBME-The Challenge Is in the Details.基于能力的医学教育——挑战在于细节。
Fam Med. 2025 Apr;57(4):242-243. doi: 10.22454/FamMed.2025.990900.
医学教育中的情境、输入、过程与产品评估模型:一项系统综述。
J Educ Health Promot. 2021 May 31;10(1):199. doi: 10.4103/jehp.jehp_1115_20. eCollection 2021.
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Competence committees: The steep climb from concept to implementation.能力建设委员会:从概念到实施的艰难攀登。
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