Direct Observation: Assessing Orthopaedic Trainee Competence in the Ambulatory Setting
Direct Observation: Assessing Orthopaedic Trainee Competence in the Ambulatory Setting
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DOI：
10.5435/jaaos-d-15-00401
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发表时间：
2016-09-01
影响因子：
3.2
通讯作者：
Egol, Kenneth A.
中科院分区：
文献类型：
--
作者：
Phillips, Donna P.;Zuckerman, Joseph D.;Egol, Kenneth A.
研究生医学教育认证理事会要求住院医师项目在六个核心能力方面教授和评估学员。评估对于确定受训者的能力和确保向所有患者提供优质护理至关重要。一个结构化的，直接的观察程序是可行的评估非技术的核心能力，并为学员提供即时的建设性反馈。通过训练有素的教师在门诊环境中直接观察居民，可以评估每个核心能力。检查表用于记录住院医师的基本沟通技巧、临床推理、体检方法和医疗记录保存。教师关注居民的专业精神，医学知识，疲劳，或自我评估的能力进行跟踪。通过系列观察，可以加强和/或监测被确定为需要改进的技能和态度。需要额外辅导的住院医师在培训早期就被确定。记录教育里程碑的进展，允许个性化的教育计划，确保未来的骨科医生在医疗和外科能力的所有领域都表现出色。
The Accreditation Council of Graduate Medical Education requires that residency programs teach and assess trainees in six core competencies. Assessments are imperative to determine trainee competence and to ensure that excellent care is provided to all patients. A structured, direct observation program is feasible for assessing nontechnical core competencies and providing trainees with immediate constructive feedback. Direct observation of residents in the outpatient setting by trained faculty allows assessment of each core competency. Checklists are used to document residents' basic communication skills, clinical reasoning, physical examination methods, and medical record keeping. Faculty concerns regarding residents' professionalism, medical knowledge, fatigue, or ability to self-assess are tracked. Serial observations allow for the reinforcement and/or monitoring of skills and attitudes identified as needing improvement. Residents who require additional coaching are identified early in training. Progress in educational milestones is, recorded, allowing an individualized educational program that ensures that future orthopaedic surgeons excel across all domains of medical and surgical competence.