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在血管外科培训中自主性的定义和感知
Camila Villacreses1, Nisarg Patel1, Charles DeCarlo2
1Division of Vascular Surgery, Medical University of South Carolina, Charleston, SC.
Annals of vascular surgery
|April 5, 2024
概括
血管外科实习生和教师对操作自主性的看法不同. 实习生认为自主性至关重要的技能与参与手术的外科医生所期望的技能之间存在很大的差距.
科学领域:
- 外科教育的外科教育
- 血管外科培训 血管外科培训
- 医疗专业发展医疗专业发展
背景情况:
- 有限的数据存在于血管外科手术的操作自主性.
- 实习生和教师之间定义自主权的差异并未得到充分理解.
研究的目的:
- 识别和分析血管外科培训生和参加教师之间的操作自主性的定义中的差异.
- 评估特定的外科技能对自主性的感知重要性.
主要方法:
- 匿名调查分发给美国培训计划的血管外科实习生和教师.
- 数据采集并使用千平方统计分析进行分析.
主要成果:
- 实习生对案例规划的排名最高,但只有36.1%的教师预期这种技能.
- 教师们对Draping/Positioning的评价很高,但很少有人希望学员能够执行它.
- 两组都将关键结构的暴露确定为关键,但预计不到70%的时间. 实习生报告说,尽管它被认为很重要,但在25%的案件中支出是双重的.
结论:
- 血管外科实习生和教师认为对自主性至关重要的技能之间存在显著的脱节.
- 目前对学员自主性的期望与学员认为独立实践所需的技能不一致.
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