定义差异:多机构分析与居民经营经验减少相关的因素
Adam D Price1, Darci C Foote2, Matthew R Woeste3
1Department of Surgery, Cincinnati Research on Education in Surgical Training (CREST), University of Cincinnati, Cincinnati, Ohio.
The Journal of surgical research
|October 14, 2023
概括
确定了与一般外科住院者 (GSR) 手术病例数量较低相关的因素. 女性住院医生,医学界代表性不足的人,以及来自低体积计划的人更有可能减少手术经验.
科学领域:
- 外科教育的外科教育
- 医疗培训 公平 公平
背景情况:
- 手术培训强调技术技能发展.
- 较高的手术病例数量与外科手术能力相关.
- 导致居民手术经验较低的因素尚不清楚.
研究的目的:
- 确定与一般外科住院医生 (GSR) 中手术病例数量较低相关的个体和计划特征.
- 告知策略,以促进公平的外科培训经验.
主要方法:
- 对2010-2020年多中心病例日志的后期分析.
- 综合外科住院医生在底部四分位数 (低于25百分位数) 的比较,而在整体手术量方面则高于25百分位数.
主要成果:
- 手术体积较低的住院医生更有可能是女性,认为自己在医疗领域的代表性不足,并寻求奖学金.
- 低体积居民更频繁地从低体积项目和NIH资助的机构毕业.
结论:
- 个体人口统计和计划特征与外科病例数量的差异有关.
- 了解这些因素对于提高外科教育的公平性至关重要.
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