CanMEDS 实验医学能力框架:探索如何在临床环境之外应用专业角色的现象学研究

Chloe Bogaty, J. Frambach
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引用次数: 0

摘要

背景:CanMEDS 能力框架是国际公认的用于概述医生能力的模型。它主要在临床环境中进行研究,但并非所有医学专科都直接接触病人。在检验医学中,医生的角色是通过管理和监督诊断实验室的功能来促进和加强对病人的诊断:本现象学研究探讨了生物化学、微生物学和病理学住院医师培训项目主任的生活经历,以更好地了解他们如何利用 CanMEDS 能力。研究人员采用半结构化访谈法对来自加拿大各地的八名检验医学项目主任进行了单独访谈,并采用归纳式主题分析法对数据进行了分析:研究结果表明,目前的框架与实验室医学的独特环境脱节,一些能力似乎与目前的标准化定义和期望不相关。尽管如此,参与者认为该框架是其专业环境所需的能力的适当蓝图,但要使其便于使用,需要更多的自主权来调整该框架,以适应他们的需求:结论:CanMEDS 能力框架的新版本应更好地考虑非临床学科的实际情况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The CanMEDS Competency Framework in laboratory medicine: a phenomenographic study exploring how professional roles are applied outside the clinical environment
Background: The CanMEDS Competency Framework is an internationally recognized model used to outline the proficiencies of a physician. It has predominantly been studied in clinical environments but not all medical specialties take part in direct patient contact. In laboratory medicine, the role of the physician is to promote and enhance patient diagnostics by managing and overseeing the functions of a diagnostic laboratory. Methods: This phenomenographic study explores the lived experiences of biochemistry, microbiology, and pathology residency program directors to better understand how they utilize the CanMEDS competencies. Eight laboratory medicine program directors from across Canada were individually interviewed using a semi-structured interview, and the data was analysed using inductive thematic analysis. Results: The findings show that the current framework is disconnected from the unique context of laboratory medicine with some competencies appearing unrelatable using the current standardized definitions and expectations. Nevertheless, participants considered the framework to be an appropriate blueprint of the competencies necessary for their professional environment, but to make it accessible more autonomy is required to adapt the framework to their needs. Conclusion: Newer renditions of the CanMEDS Competency Framework should better consider the realities of non-clinical disciplines.
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