The Learning Health System Competency Appraisal Inventory (LHS-CAI): A novel tool for assessing LHS-focused education needs.

The Learning Health System Competency Appraisal Inventory (LHS-CAI): A novel tool for assessing LHS-focused education needs.
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DOI:
10.1002/lrh2.10218
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发表时间:
2021-04
影响因子:
3.1
通讯作者:
Enders F
Enders F
中科院分区:
其他
文献类型:
--
作者:
Greenberg-Worisek AJ;Shippee ND;Schaffhausen C;Johnson K;Shah ND;Linzer M;Beebe T;Enders F

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有越来越多的兴趣在医疗机构作为学习卫生系统(LHS),以提高医疗服务的质量和效率,同时产生新的知识。个人必须接受相关概念和能力的培训,并随后在交付系统中定位(或嵌入),以便在他们执行奖学金时发挥最大作用。LHS中的潜在研究人员来自许多不同的培训背景;因此,每位LHS学者都需要根据其需求量身定制的目标导向计划。有几个工具可用于指导发展,培训,或有兴趣成为LHS研究的领导者个人的评估。在本文中,我们提出了一个新开发的工具,用于指导这些研究人员的培训,学习健康系统能力评估量表(LHS-CAI)。LHS-CAI是根据美国临床和转化科学奖研究中心使用的临床研究评价指数(CRAI)建模的。LHS-CAI是一种工具,供各级学员与导师以互动方式使用。然后,该工具可以确定需要更多培训的领域,以及在什么水平上确保LHS研究人员的成功。我们进一步修改了CRAI格式,以更好地利用LHS-CAI作为LHS学者个人发展计划的关键部分。为了实施LHS-CAI,我们已经确定了明尼苏达州学习健康系统指导职业发展计划(MN-LHS)中的关键点,在这些关键点上,对每种能力的专业知识评估将对LHS学者,导师和项目负责人有用。该计划的学者来自不同的临床和学术背景,但都将他们的职业轨迹瞄准了领先的嵌入式LHS研究。他们将在计划完成后重新评估他们的专业知识,并将基线作为关键的计划评估工具。LHS-CAI目前正在与MN-LHS计划的第一批学者一起实施。
There is increasing interest in health care organizations functioning as learning health systems (LHSs) to improve the quality and efficiency of health care delivery while generating new knowledge. Individuals must be trained in associated concepts and competencies and subsequently positioned (or embedded) within the delivery system for maximum effect as they perform their scholarship. Potential researchers within LHSs come from many different training backgrounds; therefore, each LHS scholar requires a goal‐directed plan tailored to his or her needs. There are few tools available to guide development, training, or evaluation of individuals interested in becoming leaders of research in LHSs. In this paper, we present a newly developed tool for guiding the training of such researchers, the Learning Health Systems Competency Appraisal Inventory (LHS‐CAI). The LHS‐CAI is modeled after the Clinical Research Appraisal Index (CRAI) used within Clinical and Translational Science Award sites across the United States. The LHS‐CAI is a tool for trainees at all levels to use with their mentors in an interactive manner. The tool can then identify areas in which more training is needed and at what level to ensure success as a researcher within LHSs. We further modified the CRAI format to better leverage the LHS‐CAI as a key part of an LHS scholar's individual development plan. To implement the LHS‐CAI, we have identified key points within the Minnesota Learning Health System Mentored Career Development Program (MN‐LHS) at which assessment of expertise for each competency would be useful to LHS scholars, mentors, and program leaders. Scholars in this program come from various clinical and academic backgrounds but are all targeting their career trajectories toward leading embedded LHS research. They will reevaluate their expertise upon completion of the program, with comparison to baseline serving as a key program evaluation tool. The LHS‐CAI is currently being implemented with the first cohort of scholars in the MN‐LHS program.
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