导师的差异以及对美国外科住院教育和健康的影响
Casey M Silver1,2,3, Tarik K Yuce2,3, Callisia N Clarke4
1Department of Surgery, Loyola University Medical Center, Maywood, Illinois.
JAMA surgery
|April 3, 2024
概括
有意义的指导对外科住院医生至关重要,但三分之一的人缺乏它,特别是少数群体的学员. 辅导对居民的教育和健康有积极的影响,强调了有针对性的支持的必要性.
科学领域:
- 外科教育的外科教育
- 医疗学员培训生健康健康
- 在医学的指导.
背景情况:
- 人们普遍认为,指导对于外科培训至关重要.
- 关于影响导师的因素及其对学员教育和福祉的影响的证据有限.
研究的目的:
- 评估与外科实习生对有意义指导的看法相关的因素.
- 评估指导与居民教育和健康的关联.
- 检查在居住计划中辅导的差异.
主要方法:
- 在美国认可的项目中,对全科医生进行了匿名调查.
- 多变量后勤回归用于分析与指导相关的因素.
- 研究了与教育 (自主) 和健康 (倦怠,消耗,自杀) 的关联.
主要成果:
- 在6956名居民中,66.8%的人表示有意义的指导.
- 非白人/西班牙裔居民不太可能有导师 (OR 0.81).
- 有意义的指导与增加的操作自主性以及减少倦怠,磨损和自杀相关.
结论:
- 三分之一的外科实习生缺乏有意义的指导,不成比例地影响了少数民族居民.
- 辅导与改善居民教育和健康结果有关.
- 促进指导,特别是对于代表性不足的实习生来说,至关重要.
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