Impacts of the Practice Guidelines for Primary Care of Acute Abdomen 2015on an Educational Program and Clinical Ability Evaluations

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  • Mihara Hiroshi
    University of Toyama, Center for Medical Education and Carrier Development

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  • 急性腹症診療ガイドライン2015が教育プログラムに与えた影響と能力評価の課題

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Abstract

<p>【Purpose】In an educational clinical question (number 107) of the Practice Guidelines for Primary Care of Acute Abdomen 2015, it is mentioned that although the AbdEMeT course is being held, the resulting improvement in clinical abilities has not yet been reported. The aims of the present study are (1) to evaluate the impact of this publication on the educational course and (2) to extract evaluation items (competency) to verify improvements in clinical ability. 【Methods】①The course instruction guidelines before and after the publication were compared. ②An interim questionnaire survey exploring 23 kinds of abdominal clinical abilities was conducted for subjects at different stages of their medical career. 【Results】①Policies regarding analgesic use and others were added after the publication. ②The average scores (maximum score: 108 points) of medical 5th or 6th year students, residents, senior residents, general internal medicine/specialists other than digestive diseases, and gastroenterologists were 30.7, 48.8, 56.0, 51.1 and 71.5, respectively. The largest difference between gastroenterologists and others was obtained for abdominal ultrasound performance. Furthermore, some low performance items of gastroenterologists, such as inquiries regarding menstruation, were also identified. 【Conclusion】The course instruction guideline was revised after the publication, and the adequacy of interim evaluation items for abdominal clinical abilities was confirmed. Improvement of the evaluation items and confirmation of the improved abilities of trainees will be future topics of study.</p>

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