转变骨科培训：能力本位医学教育（CBME）述评

Q2 Medicine

Journal of Clinical Orthopaedics and Trauma Pub Date : 2025-06-18 DOI:10.1016/j.jcot.2025.103107

Saketh ASPVS , Krishna Subramanyam , Kocherlakota Sathya Priyanka , Vinnisa Nithiakala Vetrivel , Swaminathan Ramasubramanian

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引用次数: 0

摘要

以能力为基础的医学教育（CBME）已经成为医学培训的一种变革模式，优先考虑掌握特定能力，而不仅仅是完成规定的培训期限。在骨科领域，CBME在提高临床能力、完善教育经验和最终改善患者预后方面具有重要的前景。这篇综述批判性地考察了支撑CBME的基本原则和框架，探索其在骨科教育中的应用。它进一步讨论了与CBME采用相关的好处、挑战和成功案例研究。材料和方法本综述综合了来自同行评议期刊、教育报告和骨科CBME专家意见的证据。通过对PubMed、Scopus、Web of Science和谷歌Scholar（2000-2025）的综合检索，发现了CBME在骨科中的原理、框架、益处、挑战和临床结果的相关研究。结果成功实施CBME的关键因素包括教师早期参与、目标的清晰沟通、持续反馈、标准化评估工具和个性化学习途径。这些实践确保了一致的能力评估，量身定制的住院医生进展，加强临床培训，最终提高住院医生的表现和患者的治疗效果。结论本综述总结了将CBME纳入骨科课程的策略建议，并为该领域的未来研究和课程发展提供了前瞻性的观点。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Transforming orthopedic training: A review of competency-based medical eductaion (CBME)

查看原文本刊更多论文

Transforming orthopedic training: A review of competency-based medical eductaion (CBME)

Background

Competency-based Medical Education (CBME) has emerged as a transformative model for medical training, prioritizing the mastery of specific competencies over the mere completion of prescribed training durations. In the field of orthopaedics, CBME holds significant promise for enhancing clinical competence, refining the educational experience, and ultimately improving patient outcomes. This review critically examines the foundational principles and frameworks underpinning CBME, exploring its application within orthopaedic education. It further discusses the benefits, challenges, and successful case studies associated with CBME adoption.

Materials and methods

This umbrella review synthesizes evidence from peer-reviewed journals, educational reports, and expert opinions on CBME in orthopaedics. A comprehensive search of PubMed, Scopus, Web of Science, and Google Scholar (2000–2025) identified relevant studies on CBME principles, frameworks, benefits, challenges, and clinical outcomes in orthopaedics.

Results

Successful CBME implementations in orthopaedics highlight key factors such as early faculty involvement, clear communication of objectives, continuous feedback, standardized assessment tools, and personalized learning pathways. These practices ensure consistent competency evaluation, tailored resident progression, and enhanced clinical training, ultimately improving resident performance and patient outcomes across orthopaedic programs.

Conclusion

The review concludes with strategic recommendations for the integration of CBME into orthopaedic curricula and offers a forward-looking perspective on future research and curricular development in this domain.

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来源期刊

Journal of Clinical Orthopaedics and Trauma Medicine-Orthopedics and Sports Medicine

CiteScore

4.30

自引率

0.00%

发文量

181

审稿时长

92 days

期刊介绍： Journal of Clinical Orthopaedics and Trauma (JCOT) aims to provide its readers with the latest clinical and basic research, and informed opinions that shape today''s orthopedic practice, thereby providing an opportunity to practice evidence-based medicine. With contributions from leading clinicians and researchers around the world, we aim to be the premier journal providing an international perspective advancing knowledge of the musculoskeletal system. JCOT publishes content of value to both general orthopedic practitioners and specialists on all aspects of musculoskeletal research, diagnoses, and treatment. We accept following types of articles: • Original articles focusing on current clinical issues. • Review articles with learning value for professionals as well as students. • Research articles providing the latest in basic biological or engineering research on musculoskeletal diseases. • Regular columns by experts discussing issues affecting the field of orthopedics. • "Symposia" devoted to a single topic offering the general reader an overview of a field, but providing the specialist current in-depth information. • Video of any orthopedic surgery which is innovative and adds to present concepts. • Articles emphasizing or demonstrating a new clinical sign in the art of patient examination is also considered for publication. Contributions from anywhere in the world are welcome and considered on their merits.