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篇名
以可信賴專業活動(EPAs)進行醫檢PGY學員糞便寄生蟲鏡檢訓練
並列篇名
Fecal Parasite Microscopy Cultivating for Post-Graduate Year Trained with Entrustable Professional Activities
作者 衛品妃鄭進裕陳美秀孫偉翔陳君竹邱婉惠顏錦雲陳柏宇 (Po-Yu Chen)楊志偉 (Chih-Wei Yang)朱蘇煜
中文摘要
近年來以勝任能力為導向的醫學教育(competency-based medical education, CBME)蔚為風潮,應用可信賴專業活動(entrustable professional activities, EPAs)在臨床訓練即為其一。有鑑於醫檢職系採用EPAs經驗較少,本研究即以單位內二年期新進(post-graduate year, PGY)醫檢師為對象,以EPAs為架構進行醫檢PGY學員糞便寄生蟲鏡檢訓練。依EPAs七大主軸設計以「執行糞便寄生蟲鏡檢作業」為任務之活動內容,並根據職場執業模式及學員訓練需求建置EPAs之即時評估表(Ad hoc)與客觀評核標準。活動後學員由受訓之前的信賴等級(3)「教師間接指導,且須確認大多數內容。」,提升為信賴等級(4)「教師間接指導,僅須事後確認重點內容。」。本次活動過程教師滿意度調查(10分制),教師認為以EPAs為架構的表單與原先採用之評估表單比較,在「實際表現學員能力」、「教師間評核一致性」、「評估工具之滿意度」三個面向均有顯著提升(p=0.04)。結論為以EPAs架構進行學員執行臨床任務之評估具有良好的信效度,且較能實際反應出學員執行臨床任務之受信賴程度。在EPAs Ad hoc表單系統建立之後,教師評估方式也較簡便有效,顯示以EPAs為架構進行學員執行糞便寄生蟲鏡檢任務之評估具有可行性與接受度。

英文摘要
Competency-based medical education (CBME) has become a trend in recent years, and the application of entrustable professional activities (EPAs) in clinical training is one of them. Although CBME are widely used in healthcare professional education to develop outcomes-based curricula, applying EPAs in medical exam education still remains challenging. This study is aimed at the post-graduated year (PGY) trainees for the fecal parasite microscopy cultivating. All evaluation accesses and curricula for the EPAs task (performing fecal parasite microscopy) were designed according to the seven major EPAs steps and had employed of working needs after staffs’consensus agreements. After EPAs, the PGY trainee was upgraded from entrustment scale (3) (Teacher indirect guidance, need to confirm most content afterwards) to scale (4) (Teacher indirect guidance, only need to confirm the key content afterwards). When compared with the original evaluation access, teachers’satisfactory survey (10-point system) results for ’’Actual Performance of Students’ Ability’’, ’’Consistency of Evaluation among Teachers’’, and ’’Evaluation Tools Conveniences’’ had been significantly improved (p = 0.04). The conclusion is that the evaluation of the trainee’s entrustment scale for performing clinical tasks based on the EPAs framework has good reliability and validity, and can actually reflect the reliability of the trainees when performing clinical tasks. After the establishment of the EPAs system, the teacher evaluation method is also relatively simple and effective, which shows that it is feasible and acceptable to use EPAs as the framework for the evaluation of trainees to perform fecal parasite microscopy tasks.

起訖頁 189-197
關鍵詞 可信賴專業活動糞便寄生蟲鏡檢信賴等級Entrustable professional activities (EPAs)Fecal parasite microscopyEntrustment Scale
刊名 生物醫學暨檢驗科學雜誌  
期數 202112 (33:4期)
出版單位 台灣醫事檢驗學會
該期刊-上一篇 調整自動尿液流式細胞儀之細菌參數,作為泌尿道感染之快速篩檢
 

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