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[研究生培训:电子日志、可托付专业活动及其他]

[Postgraduate Training: eLogbook, Entrustable Professional Activities & Co.].

作者信息

Kröger Leonie, Haus Jan-Marcus, Schulte-Uentrop Leonie, Zöllner Christian, Moll-Khosrawi Parisa

出版信息

Anasthesiol Intensivmed Notfallmed Schmerzther. 2024 Oct;59(10):559-568. doi: 10.1055/a-2218-9957. Epub 2024 Oct 11.

Abstract

The transformation of time-bound and procedure-oriented specialist medical postgraduate training towards a competency-based approach (competency-based medical education, CBME) has been demanded for several years. Many frameworks, like the CANMEDs (Canadian Medical Education Directives for Specialists) describe competencies that should be acquired by each physician. In Germany, the medical council has recently obligated a competency-based postgraduate training. Although the idea of CBME emphasizes the learning process at the working place, CBME has also been criticized to be too theoretical and detached from the clinical working practice. To close this gap, the concept of Entrustable Professional Activities (EPA) has been introduced. An EPA describes concrete clinical tasks that are successively entrusted to the trainee. The decision to entrust a task is supported by the sum of workplace-based assessments.Sustainable implementation of competency-based training requires close collaboration among all involved individuals and institutions. Furthermore, continuous feedback and open dialogue are crucial for identifying challenges and areas for improvement. The success of CBME hinges on the collective effort of all stakeholders to create a framework to enhance specialty training and an overall advancement in the field. This cooperative approach is essential to successfully translate the theoretical foundations of competency-based teaching into clinical practice and ensure high-quality specialty training.

摘要

将以时间和程序为导向的专科医学研究生培训转变为基于能力的方法(基于能力的医学教育,CBME)的需求已经存在多年。许多框架,如加拿大医学教育专家指导方针(CANMEDs),描述了每位医生应具备的能力。在德国,医学委员会最近规定了基于能力的研究生培训。尽管CBME的理念强调在工作场所的学习过程,但它也被批评过于理论化,脱离临床工作实践。为了弥合这一差距,引入了可托付专业活动(EPA)的概念。EPA描述了依次托付给受训者的具体临床任务。托付任务的决定由基于工作场所的评估总和来支持。基于能力的培训的可持续实施需要所有相关个人和机构之间的密切合作。此外,持续反馈和开放对话对于识别挑战和改进领域至关重要。CBME的成功取决于所有利益相关者的共同努力,以创建一个加强专科培训和该领域整体进步的框架。这种合作方法对于成功地将基于能力的教学的理论基础转化为临床实践并确保高质量的专科培训至关重要。

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