在研究生专业培训中对骨科创伤能力的标准设定 - - 抓住落后者
Michael Pullinger1, Ignatius Liew2, Kate Spacey2
1East of England Trauma and Orthopaedics, Cambridge University Hospitals NHS Foundation Trust, Hills Road, Cambridge, Cambridgeshire, CB2 0QQ, UK.
概括
这项研究为不同培训阶段 (ST4,ST6,ST8) 的整形外科培训生建立了明确的手术创伤能力值. 这些基准有助于识别需要支持的学员,以在创伤和骨科中保持一致的发展.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 整形外科手术 整形外科手术
背景情况:
- 创伤和骨科课程旨在培养第一天的顾问.
- 缺乏明确的发展轨迹和客观识别扎的学员.
- 本项目定义了培训里程碑的基于共识的操作创伤能力值.
研究的目的:
- 在关键培训阶段 (ST4,ST6,ST8) 建立操作创伤能力的实际,基于共识的门.
- 提供客观的基准来评估在创伤和骨科的学员进步.
- 帮助识别可能落后于预期发展的学员.
主要方法:
- 在一个院长处调查了32名教练和73名学员,调查了ST4,ST6和ST8.8的9次创伤手术的预期能力水平 (PBA).
- 计算下四分位数值,为每个能力和培训阶段建立基于共识的值.
主要成果:
- 响应率高:72%的实习生和69%的培训师.
- 在ST8,所有程序都需要4级能力.
- 在ST6 (组1: 4a级别,组2: 3b级别,组3: 3a级别) 和ST4 (组1: 3a级别,组2: 2b级别,组3: 2a级别) 中,出现了三个具有不同能力期望的操作组.
结论:
- 在创伤外科手术中,骨科实习生进展的有形门已经确立.
- 确定了两个训练组:基本创伤 (ST6的4级) 和中间创伤 (ST8的4级).
- 这些基准支持基于能力的培训环境,并为学员提供早期干预.
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