Department of Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Departments of Medicine and Pediatrics, Emory University School of Medicine, Atlanta, Georgia.
Curr Probl Pediatr Adolesc Health Care. 2024 Oct;54(10):101675. doi: 10.1016/j.cppeds.2024.101675. Epub 2024 Aug 14.
Competency-based medical education (CBME) is a patient-centered and learner-focused approach to education where curricula are delivered in a manner tailored to the individuals' learning needs, and assessment focuses on ensuring trainees achieve requisite and clearly specified learning outcomes. Despite calls to focus assessment on what matters for patients. In this article, the authors explore one aspect of this next era: the use of electronic health record clinical performance indicators, such as Resident-Sensitive Quality Measures (RSQMs) and TRainee Attributable and Automatable Care Evaluations in Real-time (TRACERs), for learner assessment. They elaborate on both the promise and the potential limitations of using such measures in a program of learner assessment.
以能力为基础的医学教育（CBME）是以患者为中心和以学习者为中心的教育方法，课程以满足个人学习需求的方式提供，评估重点是确保学员达到必要的和明确规定的学习成果。尽管有人呼吁将评估重点放在对患者重要的方面。在本文中，作者探讨了这个新时代的一个方面：使用电子健康记录临床绩效指标，如住院医师敏感质量指标（RSQMs）和培训生归因和实时自动化护理评估（TRACERs），进行学习者评估。他们详细阐述了在学习者评估计划中使用此类措施的前景和潜在局限性。
