准备好进行练习吗? 首席居民一年培训经验的趋势 在13个住院计划中
Zachary Corey1, Erik Lehman2, Gary E Lemack3
1Department of Urology, Pennsylvania State University College of Medicine, Hershey, Pennsylvania.
Urology practice
|December 29, 2023
概括
泌尿外科主任住院医生正在执行更少的一般和内泌尿外科病例,而泌尿外科瘤学主导了他们的外科经验. 这一趋势可能会影响为独立实践做好准备.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 泌尿外科住院旨在为学员提供独立实践的装备.
- 在首席住院的一年中,理想的作战经验仍然未被定义.
研究的目的:
- 分析泌尿病专科医生在实习期间和首年期间完成的外科病例数量的时间趋势.
- 评估这些趋势对独立实践准备能力的影响.
主要方法:
- 来自研究生医学教育认证委员会2010-2022年泌尿科医生病例日志的数据被汇总起来.
- 分析了五个指数程序类别:一般泌尿病学,内泌尿病学,重建性泌尿病学,泌尿瘤学和儿科泌尿病学.
- 研究了与整体住院培训相比,在主任年完成病例的趋势.
主要成果:
- 479名居民总共记录了1,287,433起病例,其中29%是在首年进行的.
- 泌尿瘤病例占首席住院病例中比例最高 (56%).
- 在首年完成的一般泌尿病 (-0.68,P=.013) 和内泌尿病 (-1.71,P≤.001) 病例的中位数百分比中观察到显著的下降趋势.
结论:
- 主治医生越来越多地专注于泌尿外科瘤手术,超过50%的病例.
- 首席一年期间对一般泌尿病学和内泌尿病学接触的减少可能会影响住院医生为独立实践做好准备.
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