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准备好第一天:居民和项目主任认为,成功过渡到居住所需要的东西
Karen George1, Abigail Ford Winkel2, Erika Banks3
1Larner College of Medicine at University of Vermont, Burlington, Vermont.
Journal of surgical education
|October 11, 2023
概括
产科和妇科 (OB / GYN) 项目主任认为住院准备有缺口,支持基本手术,超声波和住院管理技能的标准化课程. 居民和董事都强调了这些地区的需求,以便更顺利地过渡到居住.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 产科和妇科 产科和妇科
背景情况:
- 过渡到住院是医疗学员的关键时期.
- 准备住院影响患者护理和实习生成功.
- 目前的登机实践和资源的可用性在妇产科医院内有很大差异.
研究的目的:
- 评估新来的产科和妇科 (OB / GYN) 住院医生对准备的差距.
- 评估当前在OB/GYN住院计划中的入学实践.
- 确定对居民过渡的标准化,全专业资源的需求.
主要方法:
- 在2022年对美国妇产科医生和项目主任 (PD) 进行了横截面调查.
- 参与者提供了人口统计数据,并确定了需要更多准备的领域.
- 统计测试 (奇平方,克鲁斯卡尔-瓦利斯) 比较了感知和分析了准备因素.
主要成果:
- 大多数PD (57.5%) 认为实习生一般准备良好,但这两组都在基本和超声波技能方面存在缺陷.
- 住院人士希望在住院管理方面做好更多准备,而PD则注意到时间管理方面的缺陷.
- 在入学实践中存在显著的异质性;大多数PD倾向于标准化的课程和评估工具.
结论:
- 妇产科医生承认,并非所有住院医生在进入住院时都做好了充分的准备.
- 人们强烈支持制定标准化的过渡课程和评估工具,以反映整体外科模型.
- 未来的课程努力应优先考虑基本的外科技能,超声波熟练程度,时间管理和住院问题管理.
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