Examining Professional Competency

审查专业能力

• 批准号: 7196765
• 负责人: TIMOTHY D KOSCHMANN
• 金额: $ 7.23万
• 依托单位: SOUTHERN ILLINOIS UNIVERSITY SCH OF MED
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-12-06 至 2008-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7196765
• 关键词: Attention; Basic Science; Chest Pain; Clinical; Clinical Competence; Cognition; Cognitive; Cognitive Science; Collection; Complex; Computers; Count; Daily; Data; Development; Diagnosis; Diagnostic; Differential Diagnosis; Disease; Elements; Equipment and supply inventories; Evaluation; Foreign Medical Graduates; Fostering; Funding; Goals; Health Personnel; Healthcare; Human; Individual; Institute of Medicine (U.S.); Interview; Judgment; Knowledge; Laboratories; Lead; Licensing; Licensure; Life; Link; Literature; Measurable; Measures; Medical; Medical Education; Medical Errors; Medical Examiners; Medical Students; Medical Technology; Medicine; Mental Health; Methods; National Institute of Mental Health; Paper; Patient Care; Patients; Pattern; Performance; Physicians; Pilot Projects; Primary Health Care; Professional Competence; Professional Practice; Protocols documentation; Psychiatry; Recording of previous events; Reporting; Request for Proposals; Research; Running; Science; Series; Services; Shortness of Breath; Standards of Weights and Measures; Structure; Suggestion; System; Technology; Testing; Time; Training; United States; Work; base; design; improved; instrument; interest; medical schools; sample collection; skills; trait; volunteer

DESCRIPTION (provided by applicant): A series of recent reports call for the development of new competencies for health care. But how does one assess competency and, even more fundamentally, what does it mean to be 'competent'? Medical schools and licensing agencies are confronted daily with the task of evaluating and certifying professional competence using a set of practices and technologies that have evolved over time. The Competency Project seeks to foster foundational inquiry into the components, cognitive and interactional, underlying such assessments of professional competence. Our interest is in unpacking what is actually measured in consequential practical exams widely used in medical education and licensure. Becoming more articulate about what we mean by clinical competence may lead to suggestions for improving both professional training and its assessment. Subjects, medical students and residents participating as paid volunteers, will be asked to interview and examine a standardized patient (SP) who will be trained to present a case taken from psychiatric practice. Afterwards, they will construct a SOAP (Subjective and Objective findings, Assessment, and Plan) note at a computer station and will participate in a debriefing interview. We will build a collection of samples of graded practice by applying standard methods of assessment for performance-based assessment to the data gathered from the subjects' encounters with the standardized patient. Under the scope of this R03 proposal we seek funding to achieve the following specific aims: 1) To expand our existing collection of graded professional practice by (a) developing a new case in psychiatry, (b) training a standardized patient (SP), and (c) running a set of subjects and 2) to evaluate several promising analytic frameworks for studying this pilot data. Three specific frameworks will be evaluated: an analysis focusing on reasoning patterns (Cognitive Protocol Analysis), an analysis focusing on the sequential organization of the talk (Interactional Analysis), and an analysis that blends the study of cognition and interaction while focusing on knowledge structures (Cognitive Discourse Analysis).

描述（由申请人提供）：最近的一系列报告呼吁发展新的医疗保健能力。但是，一个人如何评估能力，甚至更根本的是，“能力”意味着什么？医学院和许可机构每天都面临着使用一套随着时间的推移而发展的实践和技术来评估和认证专业能力的任务。能力项目旨在促进对构成这种专业能力评估基础的认知和互动的基本调查。我们的兴趣是在拆包什么是实际衡量的结果广泛用于医学教育和执照的实践考试。更清楚地了解我们所说的临床能力可能会导致改善专业培训及其评估的建议。受试者，医学生和居民作为有偿志愿者参与，将被要求采访和检查一个标准化的病人（SP）谁将接受培训，提出一个从精神科实践的情况下。之后，他们将在计算机工作站上构建SOAP（主观和客观的发现，评估和计划）笔记，并将参加汇报面试。我们将建立一个分级实践的样本集合，通过应用标准的评估方法进行基于性能的评估，从受试者与标准化患者的接触中收集的数据。在本R03提案的范围内，我们寻求资金以实现以下具体目标：1）通过（a）开发精神病学新病例，（B）培训标准化患者（SP），（c）运行一组受试者和（2）评估几个有前途的分析框架，以研究这些试点数据，来扩大我们现有的分级专业实践收集。三个具体的框架将进行评估：一个分析侧重于推理模式（认知协议分析），一个分析侧重于顺序组织的谈话（Interceptor分析），和一个分析，融合了认知和互动的研究，同时侧重于知识结构（认知话语分析）。