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Competency-based medical education implementation: Are we transforming the culture of assessment?

机译：基于能力的医学教育实施：我们是否改变了评估文化？

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摘要

Purpose: Adopting CBME is challenging in medicine. It mandates a change in processes and approach, ultimately a change in institutional culture with stakeholders ideally embracing and valuing the new processes. Adopting the transformational change model, this study describes the shift in assessment culture by Academic Advisors (AAs) and preceptors over three years of CBME implementation in one Department of Family Medicine. Methods: A qualitative grounded theory method was used for this two-part study. Interviews were conducted with 12 AAs in 2013 and nine AAs in 2016 using similar interview questions. Data were analyzed through a constant comparative method. Results: Three overarching themes emerged from the data: (1) specific identified shifts in assessment culture, (2) factors supporting the shifts in culture, and (3) outcomes related to the culture shift. Conclusions: In both parts of the study, participants noted that assessment took more time and effort. In Part 2, however, the effort was mitigated by a sense of value for all stakeholders. With support from the mandate of regulatory bodies, local leadership, department, faculty development and an electronic platform, a cultural transformation occurred in assessment that enhanced learning and teaching, use of embedded standards for performance decisions, and tracking and documentation performance.
机译：目的：采用CBME在医学中挑战。它制定了过程和方法的改变，最终成为利益相关者的体制文化的变化，理想地拥抱和重估新流程。本研究采用转型变更模型，描述了学术顾问（AAS）和雷达斯在一个家庭医学部门的CBME实施中的学术顾问（AAS）和雷达斯的评估文化转变。方法：使用定性接地理论方法，用于该两部分研究。 2013年在2013年和2016年使用类似的面试问题进行了12 AAS进行了访谈。通过恒定的比较方法分析数据。结果：从数据中出现的三个总体主题：（1）评估文化的具体确定转变，（2）支持文化转变的因素，以及（3）与文化转变有关的结果。结论：在研究的两个部分中，参与者指出，评估需要更多的时间和努力。然而，在第2部分中，所有利益攸关方的价值感减轻了努力。通过支持监管机构的授权，地方领导，部门，教师发展和电子平台，评估中发生文化转型，增强了学习和教学，使用嵌入式标准进行绩效决策，以及跟踪和记录绩效。

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  • 来源
    《Medical teacher》 |2019年第7期|共8页
  • 作者

    Griffiths Jane; Dalgarno Nancy; Schultz Karen; Han Han; van Melle Elaine;

  • 作者单位

    Queens Univ Dept Family Med 220 Bagot St Kingston ON K7L 5E9 Canada;

    Queens Univ Fac Hlth Sci Kingston ON Canada;

    Queens Univ Dept Family Med 220 Bagot St Kingston ON K7L 5E9 Canada;

    Queens Univ Ctr Studies Primary Care Kingston ON Canada;

    Queens Univ Dept Family Med 220 Bagot St Kingston ON K7L 5E9 Canada;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 医药、卫生;
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