Chong Eleanor Jia Xin, Wang Ming Jia, Lim Jia Yin, Shen Grace Shen, Chow Misha Jing Yi, Koh Kai Kee, Lim Annabelle Jia Sing, Hong Daniel Zhihao, Ting Jacquelin Jia Qi, Pisupati Anushka, Lam Betrand Kai Yang, Ong Yun Ting, Chiam Min, Mason Stephen, Krishna Lalit Kumar Radha, Tan Si Ying
Yong Loo Lin School of Medicine, National University of Singapore, NUHS Tower Block, 1E Kent Ridge Road, Level 11, 119228, Singapore.
Division of Supportive and Palliative Care, National Cancer Centre Singapore, 11 Hospital Dr, 169610 Singapore.
Surg Pract Sci. 2022 Jul 6;10:100107. doi: 10.1016/j.sipas.2022.100107. eCollection 2022 Sep.
The need for longitudinal and comprehensive evidenced development of surgical knowledge, skills and attitudes, and the attainment of appropriate competencies have spotlighted portfolio use. Yet variations in structure, content and roles as well as its resource-heavy reputation have limited its impact. The purpose of this study is to map prevailing data on the use of portfolios in postgraduate surgical education to address a lack of e-portfolio use and guide its design and structuring in surgery.
A Systematic Evidenced Based Approach (SEBA) guided systematic scoping review (SSR) (SSR in SEBA) was conducted to map prevailing data. The constructivist ontological approach used allowed for enhanced reflexivity in the analysis and discussion.
13,092 articles were reviewed, 839 full-text articles were evaluated, and 37 articles were included. Concurrent thematic and content analysis revealed similar themes and categories which were the role of portfolios, evaluation of portfolio use, and implementation of e-portfolios.
Lessons from traditional surgical portfolios can be employed to enhance the design, support and utility of e-portfolios and yet maintain as a balanced trainee-led perspective of their progress. Focused on documenting the trainee's competencies, achievements, experiences, feedback, and reflections, a variety of methods are presently used to assess the reliability, validity, educational impact, acceptability and feasibility of surgical portfolios. The use of e-portfolios, in particular, has been adopted due to its accessibility, portability and convenience. Beyond its flexibility in access, repository and content, e-portfolios offer increased user accessibility, better quality interactions and smoother facilitation, clarification, and feedback.
The data in this SSR in SEBA underscores the need for systematic assessment tools to evaluate e-portfolio as well as evaluate the programs as a whole. Further research into training mentors to support e-portfolio use, assess progress and ensure effective oversight of e-portfolios are required.
外科知识、技能和态度的纵向与全面循证发展以及获得适当能力的需求，凸显了档案袋的使用。然而，其结构、内容和作用的差异以及资源消耗大的名声限制了其影响。本研究的目的是梳理研究生外科教育中档案袋使用的现有数据，以解决电子档案袋使用不足的问题，并指导其在外科领域的设计和构建。
采用基于循证的系统方法（SEBA）指导的系统综述（SEBA中的SSR）来梳理现有数据。所采用的建构主义本体论方法在分析和讨论中增强了反思性。
共检索了13092篇文章，评估了839篇全文文章，纳入了37篇文章。同时进行的主题和内容分析揭示了相似的主题和类别，即档案袋的作用、档案袋使用的评估以及电子档案袋的实施。
传统外科档案袋的经验教训可用于改进电子档案袋的设计、支持和效用，同时保持以学员为主导的关于其进展的平衡视角。目前采用了多种方法来评估外科档案袋的可靠性、有效性、教育影响、可接受性和可行性，重点是记录学员的能力、成就、经验、反馈和反思。特别是电子档案袋因其可访问性、便携性和便利性而被采用。除了在访问、存储库和内容方面的灵活性外，电子档案袋还提供了更高的用户可及性、更好的质量互动以及更顺畅的促进、澄清和反馈。
本SEBA中的SSR数据强调需要系统评估工具来评估电子档案袋以及整体评估项目。需要进一步研究培训导师以支持电子档案袋的使用、评估进展并确保对电子档案袋进行有效监督。
