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我们需要做得更好:对外科住院的健康计划进行全面审查
Ananya Anand1, Rachel Jensen1, James R Korndorffer1
1Department of Surgery, Stanford University, Stanford, California.
Journal of surgical education
|August 4, 2023
概括
外科住院医生的倦怠是很常见的. 几乎没有公布的健康计划存在,更少的评估结果超出初始反应或学习,突出需要强大的,多领域的程序与严格的评估.
科学领域:
- 医学教育研究 医学教育研究
- 进行外科手术培训.
- 居民福利 居民福利
背景情况:
- 倦怠,抑郁和疲劳是外科住院医生中普遍存在的问题.
- 现有的文献往往缺乏对健康计划的程序性评估.
- 需要识别和评估目前在外科住院的健康策略.
研究的目的:
- 进行对美国外科住院计划中的健康举措的范围审查.
- 确定实施的健康计划类型.
- 确定所涉及的健康领域和所使用的结果评估方法.
主要方法:
- 在PubMed,Embase和Scopus进行了全面的文献搜索.
- 包括描述美国外科住院医生的健康举措的研究.
- 数据提取的重点是健康领域,评估方法 (Kirkpatrick级别) 和研究质量 (MERSQI).
主要成果:
- 分析了代表39个不同的健康计划的51项研究.
- 情感,职业和身体领域是最常见的.
- 大多数评估仅评估反应 (一级) 和学习 (二级) 结果,对行为 (三级) 或结果 (四级) 的评估有限.
结论:
- 在外科培训计划中,健康挑战仍然存在.
- 在严格评估外科住院健康计划方面存在重大差距.
- 未来的干预措施必须是深思熟虑的,应对多个健康领域,并纳入更高水平的结果评估.
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