中华医学教育杂志

中华医学教育杂志 >

2023 , Vol. 43 >Issue 6: 471 - 476

DOI: https://doi.org/10.3760/cma.j.cn115259-20220720-00919

医学教育评估

国外精神科医师置信职业行为评价的研究进展

  • 颜峰 ,
  • 王子尧 ,
  • 罗辰 ,
  • 杨旭 ,
  • 张立刚 ,
  • 程化琴
展开
  • 1北京回龙观医院 北京大学回龙观临床医学院心身医学科, 北京 100096;
    2北京大学2018级八年制临床医学专业学生, 北京 100191;
    3北京大学医学教育研究所 全国医学教育发展中心, 北京 100191

收稿日期: 2022-07-20

  网络出版日期: 2023-05-31

基金资助

北京大学医学部教育教学研究课题(2020YB20);北京市住院医师规范化培训质量提高项目(2021jy045);北京市住院医师规范化培训质量提高项目(2022jy015)

收起

Research progress in the evaluation of entrustable professional activities for psychiatry abroad

  • Yan Feng ,
  • Wang Ziyao ,
  • Luo Chen ,
  • Yang Xu ,
  • Zhang Ligang ,
  • Cheng Huaqin
Expand
  • 1Department of Psychosomatic Medicine, Beijing Huilongguan Hospital & Peking University Huilongguan Clinical Medical School, Beijing 100096, China;
    2Clinical Student, Eight-year Program, Enrolled in 2018, Peking University, Beijing 100191, China;
    3Institute of Medical Education & National Center for Health Professions Education Development, Peking University, Beijing 100191, China
Cheng Huaqin, Email: chenghq@126.com

Received date: 2022-07-20

  Online published: 2023-05-31

Supported by

Education Research Project of Peking University Health Science Center (2020YB20); Beijing Resident Standardized Training Quality Improvement Project (2021jy045); Beijing Resident Standardized Training Quality Improvement Project (2022jy015)

Fold

摘要

置信职业行为(entrustable professional activities,EPAs)理念已在国际医学教育领域被广泛采纳,是针对基于胜任力的医学教育较好的评价方式。目前我国尚没有基于胜任力的精神科住院医师EPAs评价体系。本文分析了近10年来国外精神科医师EPAs研究进展,对其构建方法、相关条目及实施情况进行整理,以期为我国精神科住院医师EPAs评价指标体系构建提供参考。

关键词： 精神病学; 置信职业行为; 住院医师培训; 胜任力评价; 综述

本文引用格式

颜峰 , 王子尧 , 罗辰 , 杨旭 , 张立刚 , 程化琴 . 国外精神科医师置信职业行为评价的研究进展[J]. 中华医学教育杂志, 2023 , 43(6) : 471 -476 . DOI: 10.3760/cma.j.cn115259-20220720-00919

Abstract

The concept of entrustable professional activities (EPAs) has been widely adopted internationally and is considered as a better assessment method for competency-based education. At present, there is no competency-based EPAs evaluation system for psychiatric residents in China. This article analyzes the research progress of psychiatric EPAs in the past decade internationally, and sort out the construction methods, relevant EPAs items and implementation involved, so as to inform the construction of the evaluation index system of EPAs for psychiatric residents in China.

Key words： Psychiatry; Entrustable professional activities; Resident training; Competency evaluation; Review

参考文献

[1] Frenk J, Chen L, Bhutta ZA, et al. Health professionals for a new century: transforming education to strengthen health systems in an interdependent world[J] . Lancet, 2010,376(9756):1923-1958. DOI: 10.1016/S0140-6736(10)61854-5.
[2] Lurie SJ, Mooney CJ, Lyness JM. Measurement of the general competencies of the accreditation council for graduate medical education: a systematic review[J] . Acad Med, 2009,84(3):301-309. DOI: 10.1097/ACM.0b013e3181971f08.
[3] 齐心, 金哲, 韩晓宁, 等. 住院医师置信职业行为指标的构建研究[J] .中华医学教育杂志,2021,41(2):104-108. DOI: 10.3760/cma.j.cn115259-20201117-01599.
[4] Ginsburg S, McIlroy J, Oulanova O, et al. Toward authentic clinical evaluation: pitfalls in the pursuit of competency[J] . Acad Med, 2010,85(5):780-786. DOI: 10.1097/ACM.0b013e3181d73fb6.
[5] ten Cate O. Entrustability of professional activities and competency-based training[J] . Med Educ, 2005,39(12):1176-1177. DOI: 10.1111/j.1365-2929.2005.02341.x.
[6] ten Cate O, Young JQ. The patient handover as an entrustable professional activity: adding meaning in teaching and practice[J] . BMJ Qual Saf, 2012,21 Suppl 1:i9-12. DOI: 10.1136/bmjqs-2012-001213.
[7] Mulder H, Ten Cate O, Daalder R, et al. Building a competency-based workplace curriculum around entrustable professional activities: The case of physician assistant training[J] . Med Teach, 2010,32(10):e453-459. DOI: 10.3109/0142159X.2010.513719.
[8] Duijn C, Welink LS, Mandoki M, et al. Am I ready for it? Students′ perceptions of meaningful feedback on entrustable professional activities[J] . Perspect Med Educ, 2017,6(4):256-264. DOI: 10.1007/s40037-017-0361-1.
[9] Browne K, Roseman D, Shaller D, et al. Analysis & commentary. Measuring patient experience as a strategy for improving primary care[J] . Health Aff (Millwood), 2010,29(5):921-925. DOI: 10.1377/hlthaff.2010.0238.
[10] Englander R, Carraccio C. From theory to practice: making entrustable professional activities come to life in the context of milestones[J] . Acad Med, 2014,89(10):1321-1323. DOI: 10.1097/ACM.0000000000000324.
[11] Shorey S, Lau TC, Lau ST, et al. Entrustable professional activities in health care education: a scoping review[J] . Med Educ, 2019,53(8):766-777. DOI: 10.1111/medu.13879.
[12] Meyer EG, Chen HC, Uijtdehaage S, et al. Scoping review of entrustable professional activities in undergraduate medical education[J] . Acad Med, 2019,94(7):1040-1049. DOI: 10.1097/ACM.0000000000002735.
[13] O′Dowd E, Lydon S, O′Connor P, et al. A systematic review of 7 years of research on entrustable professional activities in graduate medical education, 2011-2018[J] . Med Educ, 2019,53(3):234-249. DOI: 10.1111/medu.13792.
[14] Boyce P, Spratt C, Davies M, et al. Using entrustable professional activities to guide curriculum development in psychiatry training[J] . BMC Med Educ, 2011,11:96. DOI: 10.1186/1472-6920-11-96.
[15] Weiss A, Ozdoba A, Carroll V, et al. Entrustable professional activities: enhancing meaningful use of evaluations and milestones in a psychiatry residency program[J] . Acad Psychiatry, 2016,40(5):850-854. DOI: 10.1007/s40596-016-0530-2.
[16] Young JQ, Hasser C, Hung EK, et al. Developing end-of-training entrustable professional activities for psychiatry: results and methodological lessons[J] . Acad Med, 2018,93(7):1048-1054. DOI: 10.1097/ACM.0000000000002058.
[17] Hung EK, Jibson M, Sadhu J, et al. Wresting with implementation: a step-by-step guide to implementing entrustable professional activities (EPAs) in psychiatry residency programs[J] . Acad Psychiatry, 2021,45(2):210-216. DOI: 10.1007/s40596-020-01341-7.
[18] Spratt C, Boyce P, Davies M, et al. The Australian and New Zealand experience[EB/OL] .[2022-07-10] .https://www.cambridge.org/core/books/abs/workplacebased-assessments-in-psychiatric-training/australian-and-new-zealand-experience/65306EA8E5BDDFFC48B1ABDB1751ABE5.
[19] Klapheke M, Johnson T, Cubero M. Assessing entrustable professional activities during the psychiatry clerkship[J] . Acad Psychiatry, 2017,41(3):345-349. DOI: 10.1007/s40596-017-0665-9.
[20] Large MM, Ryan CJ. Suicide risk categorisation of psychiatric inpatients: what it might mean and why it is of no use[J] . Australas Psychiatry, 2014,22(4):390-392. DOI: 10.1177/1039856214537128.
[21] Griffeth BT, Brooks WB, Foster A. A psychiatric-specific entrustable professional activity for the evaluation of prospective psychiatric residents: towards a national standard[J] . MedEdPORTAL, 2017,13:10584. DOI: 10.15766/mep_2374-8265.10584.
[22] Martin A, Jacobs A, Krause R, et al. The mental status exam: an online teaching exercise using video-based depictions by simulated patients[J] . MedEdPORTAL, 2020,16:10947. DOI: 10.15766/mep_2374-8265.10947.
[23] Port N, Weiss A, Maudsley I. Electroconvulsive therapy training: can it be a model of an entrustable professional activity in a competency program?[J] . Australas Psychiatry, 2012,20(3):242-245. DOI: 10.1177/1039856212447879.
[24] The Royal College of Physicians and Surgeons of Canada. Entrustable professional activities for psychiatry[EB/OL] . [2021-04-13] . https://www.royalcollege.ca/rcsite/research/research-publica- tions-e.
[25] Liu L, Jiang Z, Qi X, et al. An update on current EPAs in graduate medical education: a scoping review[J] . Med Educ Online, 2021,26(1):1981198. DOI: 10.1080/10872981.2021.1981198.
[26] Young JQ, McClure M. Fast, easy, and good: assessing entrustable professional activities in psychiatry residents with a mobile app[J] . Acad Med, 2020,95(10):1546-1549. DOI: 10.1097/ACM.0000000000003390.
[27] Association of American Medical College, AAMC. 入职住院医师核心置信职业行为-课程开发者指导手册[M] . 李海潮,译.北京:北京大学医学出版社, 2021: 6-70.
[28] Menezes N, Hawa R, Oswald R, et al. Does one size truly fit all? The coupe undergraduate perspective on competency-based medical education in psychiatry[J] . Can J Psychiatry, 2018,63(6):356-360. DOI: 10.1177/0706743718758967.
[29] Jurd S, de Beer W, Aimer M, et al. Introducing a competency based fellowship programme for psychiatry in Australia and New Zealand[J] . Australas Psychiatry, 2015,23(6):699-705. DOI: 10.1177/1039856215600898.
[30] CarlLee S, Rowat J, Suneja M. Assessing entrustable professional activities using an orientation osce: identifying the gaps[J] . J Grad Med Educ, 2019,11(2):214-220. DOI: 10.4300/JGME-D-18-00601.2.
[31] Sevey N, Barratt M, Omoruyi E. Can incoming United States pediatric interns be entrusted with the essential communication skills of informed consent?[J] . J Educ Eval Health Prof, 2020, 17:18. DOI: 10.3352/jeehp.2020.17.18.
Options
文章导航

/

〈 〉