教育が増えたか 機会が減ったか? 共同外科医とフェローがマイクロ外科研修に与える影響
Annie M Fritsch1, Brandon E Alba2, Kelly Harmon3
1Rush University Medical Center, Division of Plastic and Reconstructive Surgery, Chicago, IL, USA.
Journal of plastic, reconstructive & aesthetic surgery : JPRAS
|August 22, 2025
まとめ
整形外科のリジデントは,共外科医 (CSM) の支援を微小外科の訓練として肯定的に見ていますが,微小外科の仲間 (MSF) の関与はより否定的に見られています. CSMやMSFを利用したプログラムでは,住民の訓練に対する見方がよりポジティブであることが報告されています.
科学分野:
- 微小手術による再建
- 整形外科の訓練
- 外科教育
背景:
- 微小手術による再建は 専門的な訓練を必要とする 複雑な手順です
- 共同外科医 (CSM) と微小外科医 (MSF) の関与は整形外科において一般的ですが,入院者の訓練への影響は不明です.
研究 の 目的:
- 共同外科医 (CSM) とマイクロ外科フェロー (MSF) の支援が 整形外科のリジデントのマイクロ外科教育に与える影響を評価する.
主な方法:
- プラスティック外科研修士協会 (ACEP) を通じて プラスティック外科研修士に電子アンケートが配布されました
- この調査は,訓練レベル,プログラムの特徴,およびCSM/MSFの使用に関するデータを収集した.
- CSM/MSFがマイクロ外科教育に与える影響は,5ポイントのライカートスケールで評価された.
主要な成果:
- 134人の住民が調査を完了し,CSMは71%で,MSFは27%で利用されました.
- 住民はCSMの支援を好意的に捉えた (45%は好意的対23%は否定的),しかしMSFの関与を否定的に捉えた (15%は好意的対57%は否定的).
- CSM/MSFプログラムに参加した住民は,CSMとMSFプログラムに参加しなかった住民 (24% CSM,8% MSF) に比べて,著しく前向きな訓練見通しを示した (p<0.001).
結論:
- CSMやMSFを利用したプログラムに参加した住民は,より前向きな見方を示した.
- 施設は,CSMとMSFがマイクロ手術の学習を妨げるのではなく,強化することを保証するために,居住者のフィードバックを考慮する必要があります.
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