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透过镜子:比较居民和参加者对能力和自治的看法
Taylor Niznik1, Sixia Chen2, Joanna Gernsback3
1Department of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA; Department of Neurosurgery, Section of Pediatric Neurosurgery, Oklahoma Children's Hospital, University of Oklahoma School of Medicine, Oklahoma City, OK, USA.
World neurosurgery
|March 28, 2024
概括
住院和主治外科医生在儿科神经外科手术期间表现出对学员能力和自主性的共识. 这表明客观的工具可以有效地跟踪居民在外科培训中的进展.
科学领域:
- 神经外科 神经外科
- 医学教育 医学教育
- 进行外科手术培训.
背景情况:
- 外科住院通过学徒模式培养新手术医生.
- 需要客观的指标来评估学员的能力和自主性.
研究的目的:
- 在儿科神经外科手术期间比较住院和临床医生对能力和自主性的看法.
- 评估外科手术自主计划的实用性,利用近距离发育区 (ZPDs) 和教学,建议,指导,Solo (TAGS) 规模.
主要方法:
- 一项试点研究的重点是小儿神经外科的腹腔上突变程序.
- 住院医生和主治外科医生在每次手术后对住院医生的能力 (按ZPD) 和自主性 (按TAGS) 进行了评分.
- 评级进行了比较,以评估居民和护理人员之间的协议.
主要成果:
- 在居民和护理人员之间的能力或自主度评级上没有发现显著差异.
- 研究生年级与TAGS评级相关;经验较少的居民显示了感知差距.
- 居民发现ZPD检查清单对沟通和实现适当的自主性有帮助.
结论:
- 儿科神经外科实习生和临床医生之间存在关于居民自主性和能力的一致性.
- 评估的工具为客观评分神经外科住院医生的进展提供了一个潜在的方法.
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