蔡肋頤's blog

EPA評估形式

Entrustment decisions (ED)分為兩種

• ad hoc
• based on a mix of estimated trustworthiness of the trainee, estimated risk of the situation, urgency of the job to be done, and suitability of this task at this moment for this learner
• Clinicians use a rapid and intuitive thinking process (called System 1 thinking) to act efficiently in routine cases
• 在日常的工作職場中發生通常是單一評估者對受評學員的即時評核，評核與回饋的結果是學員學習改善的重要依據
• summative
• grounded in sufficient evaluation and made by educational program directors or clinical competency committees, should lead to certification and privileging of the trainee to act in the future with a specified level of supervision
• rely on slow analytic reasoning strategies (System 2 thinking) that take more time
• 在某一些特定訓練期程 中的時間點，進行系統性、架構化的信賴等級評定，訓練計畫必須明確設計或規範學員 接受評估的機制，並明確地記錄下學員所通過的可信賴專業活動，稱做STAR（statement of awarded responsibility），以做為某段期間 臨床工作授權的參考依據。