未来眼科外科医生的临床前培训:法国一项基于意见的研究
Nicolas Kitic1,2, Jean-Louis Bourges3,4
1Rothschild Foundation Hospital, Paris, France. kitic.nicolas@gmail.com.
BMC medical education
|February 9, 2024
概括
法国眼科医生对外科培训表示普遍满意,但指出地区差异和缺乏标准化的目标. 他们希望更多的模拟,真正的患者手术,以及更好的外科教育更明确的目标.
科学领域:
- 眼科医生 眼科 眼科
- 外科教育的外科教育
- 医疗培训 医学培训
背景情况:
- 手术培训是眼科住院的关键组成部分.
- 确保在不同地区提供一致和有效的外科教育对于培养合格的外科医生至关重要.
研究的目的:
- 评估眼科医生对他们在法国的外科培训经验的满意度.
- 在全国范围内确定当前外科住院计划的优势和弱点.
主要方法:
- 在法国所有27个地区的眼科住院医生中,分发了一份28个问题的调查.
- 数据分析包括满意度评分,外科手术经验,以及对模拟和指导等培训组件的看法.
主要成果:
- 住院医生对整体外科培训的评价为5.27/10,其中93.4%的医生至少进行了一次手术,而80.7%的医生在第二年完成了全面的白内障手术.
- 在巴黎与其他地区的培训时间之间观察到显著的差异 (p < 0.0001).
- 虽然模拟接入率很高 (78.1%-100%),但只有48.9%的人有导师,82.2%的人缺乏明确的手术目标;居民希望更多的模拟,真实的患者体验和明确的目标.
结论:
- 眼科医生表达了整体满意度,但强调了区域差异很大,需要在全国范围内进行标准化外科培训.
- 模拟在早期住院时是有价值的,后来更喜欢过渡到真正的患者手术.
- 实施"操作许可证"可以在住院医生对患者进行手术之前标准化对外科能力的评估.
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