专稿

以胜任力为导向的医学教育里程碑标准的研究进展

  • 宋文文 ,
  • 李鸿鹤 ,
  • 丁宁 ,
  • 闻德亮
展开
  • 1中国医科大学国际医学教育研究院课程与教学研究所,沈阳 110122;
    2中国医科大学,沈阳 110122

收稿日期: 2019-03-18

  网络出版日期: 2020-12-09

Research progress of milestones in competency-based medical education

  • Song Wenwen ,
  • Li Honghe ,
  • Ding Ning ,
  • Wen Deliang
Expand
  • 1Research Institute for Curriculum and Teaching,Institute for International Healthcare Professionals Education and Research,China Medical University,Shenyang 110122,China;
    2China Medical University,Shenyang 110122,China

Received date: 2019-03-18

  Online published: 2020-12-09

摘要

在医学教育的发展过程中,岗位胜任力里程碑标准的提出,使以胜任力为导向的医学教育得到进一步落实与发展,因而里程碑标准在医学教育中的应用被逐渐强调。本研究首先系统描述以胜任力为导向的医学教育和里程碑标准的概念及相互关系,其次分别描述美国、加拿大、中国台湾及大陆地区的医学教育里程碑标准发展历程,并对医学教育里程碑标准相关研究的现状和研究空白做出总结,从而为以胜任力为导向的医学教育里程碑标准的相关研究奠定理论基础。

本文引用格式

宋文文 , 李鸿鹤 , 丁宁 , 闻德亮 . 以胜任力为导向的医学教育里程碑标准的研究进展[J]. 中华医学教育杂志, 2019 , 39(12) : 897 -900 . DOI: 10.3760/cma.j.issn.1673-677X.2019.12.001

Abstract

In the process of the development of medical education,the proposal of milestones makes the competency-based medical education implemented and developed.Therefore,the application of milestone in medical education is gradually emphasized.This study firstly systematically described the concept and relationship between competency-based medical education and milestones,and then described the development process of competency milestones in the United States,Canada,Chinese Taiwan and Chinese Mainland.The existing research condition and the gaps were summarized,thus laying a theoretical foundation for the relevant research on milestone standards in competency-based medical education.

参考文献

[1] Green ML,Aagaard EM,Caverzagie KJ,et al.Charting the road to competence:developmental milestones for internal medicine residency training[J].J Grad Med Educ,2009,1(1):5-20.DOI:10.4300/01.01.0003.
[2] 范佩贞,徐宇侬,李文凯,等.胜任力导向医学教育简介[J].中国毕业后医学教育,2018,2(4):264-269.
[3] Holmboe ES,Sherbino J,Englander R,et al.A call to action:the controversy of and rationale for competency-based medical education[J].Med Teach,2017,39(6):574-581.DOI:10.1080/0142159X.2017.1315067.
[4] Choe JH,Knight CL,Stiling R,et al.Shortening the miles to the milestones:connecting EPA-based evaluations to ACGME milestone reports for internal medicine residency programs[J].Acad Med,2016,91(7):943-950.DOI:10.1097/ACM.0000000000001161.
[5] Touchie C,Ten CO.The promise,perils,problems and progress of competency-based medical education[J].Med Educ,2016,50(1):93-100.DOI:10.1111/medu.12839.
[6] 姜众,陈雄鹰,钱湘,等.美国住院医师规范化培训的历史与现状[J].中国医学人文,2018,4(3):16-23.
[7] Luce EA.Discussion:competency,the NAS,and the milestones:sea change or deluge?[J].Plast Reconstr Surg,2016,137(4):1334-1336.DOI:10.1097/PRS.0000000000002033.
[8] Dreyfus HL,Dreyfus SE,Athanasiou T.Mind over machine:the power of human intuition and expertise in the era of the computer[J].IEEE Expert,1987,2(2):110-111.DOI:10.1109/MEX.1987.4307079.
[9] Silverman H,Lehmann CU,Munger B.Milestones:critical elements in clinical informatics fellowship programs[J].Appl Clin Inform,2016,7(1):177-190.DOI:10.4338/ACI-2015-10-SOA-0141.
[10] Holmboe ES.Competency-based medical education and the ghost of kuhn:reflections on the messy and meaningful work of transformation[J].Acad Med,2018,93(3):350-353.DOI:10.1097/ACM.0000000000001866.
[11] Frank JR,Snell LS,Sherbino J,et al.Draft CanMEDS 2015 milestones guide[Z].Ottawa:The Royal College of Physicians and Surgeons of Canada,2014.
[12] Lee CY,Lai HY,Lee CH,et al.Does one size fit all? examining the application of neurosurgery residency milestones developed in the United States to a Taiwanese culture[J].World Neurosurg,2017,104:499-508.DOI:10.1016/j.wneu.2017.04.129.
[13] 刘壮,田蕾,孙宝志,等.辽宁省临床医师岗位胜任力分析及评价研究[J].中国卫生统计,2016,33(5):842-844.
[14] 孙宝志,王县成.“5+3”模式培养临床医学人才胜任力阶梯标准及医学考试方法研究 [M].北京:人民卫生出版社,2018:1-98.
[15] Korf BR.The medical genetics residency milestones[J].J Grad Med Educ,2014,6(1 Suppl 1):87-90.DOI:10.4300/JGME-06-01s1-31.
[16] Hauer KE,Vandergrift J,Hess B,et al.Correlations between ratings on the resident annual evaluation summary and the internal medicine milestones and association with ABIM certification examination scores among US internal medicine residents,2013-2014[J].JAMA,2016,316(21):2253-2262.DOI:10.1001/jama.2016.17357.
[17] Carraccio CL,Englander R.From fexner to competencies:reflections on a decade and the journey ahead[J].Acad Med,2013,88(8):1067-1073.DOI:10.1097/ACM.0b013e318299396f.
[18] Lomis KD,Russell RG,Davidson MA,et al.Competency milestones for medical students:design,implementation,and analysis at one medical school[J].Med Teach,2017,39(5):494-504.DOI:10.1080/0142159X.2017.1299924.
[19] Hauer KE,Clauser J,Lipner RS,et al.The internal medicine reporting milestones:cross-sectional description of initial implementation in U.S.residency programs[J].Ann Intern Med,2016,165(5):356-362.DOI:10.7326/M15-2411.
文章导航

/