Division of Palliative Care, Division of Palliative Care, Department of Family and Community Medicine, Sinai Health System, University of Toronto, Toronto, Canada.
Division of Palliative Care, Division of Palliative Care, Department of Family and Community Medicine, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, Canada.
J Palliat Med. 2024 Aug;27(8):1055-1059. doi: 10.1089/jpm.2023.0682. Epub 2024 Jul 15.
Faculty development (FD) is critical to the implementation of competency-based medical education (CBME) and yet evidence to guide the design of FD activities is limited. Our aim with this study was to describe and evaluate an FD activity as part of CBME implementation. Palliative medicine faculty were introduced to entrustable professional activities (EPAs) and gained experience estimating a learner's level of readiness for entrustment by directly observing a simulated encounter. The variation that was found among assessments was discussed in facilitated debrief sessions. Attitudes and confidence levels were measured 1 week and 6 months following debriefs. Participants were able to use the EPA framework when estimating the learner's readiness level for entrustment. Significant improvements in attitudes and level of confidence for several knowledge, skill, and behavior domains were maintained over time. Simulated direct observation and facilitated debriefs contributed to preparing both faculty and learners for CBME and EPA implementation.
师资发展（FD）对于实施以能力为基础的医学教育（CBME）至关重要，但指导 FD 活动设计的证据有限。我们这项研究的目的是描述和评估作为 CBME 实施的一部分的 FD 活动。姑息医学教师接触可委托专业活动（EPAs），并通过直接观察模拟遭遇获得评估学习者委托准备程度的经验。在辅导式讨论中讨论了评估中的差异。在讨论后 1 周和 6 个月测量了态度和信心水平。参与者在评估学习者的委托准备程度时能够使用 EPA 框架。随着时间的推移，几个知识、技能和行为领域的态度和信心水平都保持了显著的提高。模拟直接观察和辅导式讨论有助于为 CBME 和 EPA 的实施做好教师和学习者的准备。
