基于能力的心脏病学培训:改进督导人员完成委托专业活动的简单方法

IF 2.5 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Whitney Faiella MD, FRCPC , Sandila Navjot BSc, MPH , Sarah Ramer MD, FRCPC
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引用次数: 0

摘要

背景成人心脏病学住院医师培训项目于 2021 年 7 月正式过渡到 "设计能力"(CBD)。能力设计 "旨在建立明确的学习预期并增加辅导机会;然而,所提到的挑战包括员工参与不一致以及接收反馈的时间不固定。本项目旨在实施一项简单的干预措施,以提高委托专业活动(EPA)的过期率和完成时限。方法:对达尔豪西大学心脏病学住院医师在 2020 年 7 月 1 日至 2023 年 2 月 28 日期间触发的EPA 进行了审查。干预措施包括绩效考核,包括大查房演示,以及向每位员工主管分发的个性化数据集,并将个人统计数据与小组平均值进行比较。结果干预后 12 个月,过期 EPA 的比例从 35.0% 降至 21.5%(几率比 0.51,CI 0.33-0.79; P = 0.03),完成时间从 7.3 ± 5.99 天降至 5.0 ± 5.78 天(差异 -2.31,CI -3.55 至 -1.07; P <0.001)。每住院月完成的 EPA 数量从 3.10 增加到 4.29(比率差异 1.18;CI 0.64-1.72;P <;0.001),在 48 小时目标时间内完成 EPA 的百分比从 54.4% 增加到 71.5%(OR 2.11,CI 1.27-3.50;P = 0.004)。结论以小组展示的形式进行绩效考核,同时向主管分发个性化数据集,对 EPA 到期率、完成时限和完成率产生了积极影响,有助于促进向 CBD 的过渡。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Competency-Based Cardiology Training: A Simple Approach to Improve Supervisor Completion of Entrustable Professional Activities

Background

Adult cardiology residency programs formally transitioned to Competency by Design (CBD) in July 2021. CBD was designed to establish clear learning expectations and increase opportunities for coaching; however, cited challenges include inconsistent participation by staff, and variable timelines for receiving feedback. This project was designed to implement a simple intervention to improve expiry rates and completion timelines of entrustable professional activities (EPAs).

Methods

EPAs triggered by cardiology residents at Dalhousie University between July 1, 2020 and February 28, 2023 were reviewed. The intervention consisted of performance reviews, including a grand rounds presentation, along with a personalized data set distributed to each staff supervisor, with individual statistics compared to group averages. Outcomes include EPAs completed per resident-months, time to completion, and percentage of expired EPAs.

Results

At 12 months postintervention, the percentage of expired EPAs decreased from 35.0% to 21.5% (odds ratio 0.51, CI 0.33–0.79; P = 0.03), and the time to completion decreased from 7.3 ± 5.99 days to 5.0 ± 5.78 days (difference –2.31, CI –3.55 to –1.07; P < 0.001). The number of EPAs completed per resident-months increased from 3.10 to 4.29 (rate difference 1.18; CI 0.64–1.72; P < 0.001), and the percentage of EPAs completed within the target time of 48 hours increased from 54.4% to 71.5% (OR 2.11, CI 1.27–3.50; P = 0.004).

Conclusions

Performance reviews in the form of a group presentation, along with the distribution of personalized data sets to supervisors, positively impacted EPA expiry rates, completion timelines, and completion rates, which helped facilitate the transition to CBD.
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来源期刊
CJC Open
CJC Open Medicine-Cardiology and Cardiovascular Medicine
CiteScore
3.30
自引率
0.00%
发文量
143
审稿时长
60 days
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