实习生主观能力与泌尿器科教师期望的能力之间的差距分析:日本的一项需求评估调查
Kanta Hori1, Takashige Abe1, Noriyuki Abe2
1Department of Urology, Hokkaido University Graduate School of Medicine, Sapporo, Japan.
概括
日本的泌尿外科外科实习生报告说,他们对执行复杂的开放和重建手术的信心很低. 导师期望这些技能能够通过参加泌尿科医生来掌握,突出了关键的培训差距.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 外科教育的外科教育
- 医疗培训 医学培训
背景情况:
- 手术技术正在迅速发展,增加了手术的复杂性.
- 研究生培训必须适应,为泌尿科医生提供必要的技能.
- 在日本,在学员能力和教练期望之间可能存在感知差距.
研究的目的:
- 评估日本泌尿外科手术培训的现状.
- 识别泌尿病学学员和教练之间的认知能力的差异.
- 为开发改进的研究生泌尿外科外科培训计划提供信息.
主要方法:
- 一个德尔菲方法确定了40个关键的泌尿外科手术程序.
- 收集了来自日本北海道县174名泌尿科医生的数据.
- 实习生 (<15个研究生年) 报告了工作量,自主性和信心;教师 (>15个PGY) 报告了使用5分利克特级别的预期能力.
主要成果:
- 达到了96%的响应率.
- 病例总体上随着经验的增加而增加,但机器人和重建性手术的数量即使在15年的研究生课程后仍然有限.
- 实习生对开放式囊切除术和尿路尿路整形术等手术的信心较低,与指导员对主治医生的独立表现的期望形成鲜明对比.
结论:
- 在泌尿外科手术培训方面存在很大的差距,特别是在开放式和重建性手术方面.
- 实习生缺乏对特定复杂手术的信心和经验.
- 了解这些感知差距对于设计有效的泌尿外科手术培训课程至关重要.
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