居民暴露和参与儿科整形外科的核心程序能力
Josephine A D'Abbondanza1, Jessica G Shih1, Aaron D C Knox2
1Division of Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada.
Plastic surgery (Oakville, Ont.)
|April 29, 2024
概括
加拿大整形外科住院医生对核心儿科病例的接触有限,平均仅记录了55.6次手术. 跨程序的这种变化可能会影响儿科整形外科的培训能力.
科学领域:
- 医学教育 医学教育
- 整形外科 整形外科 整形外科
- 儿科手术 儿科手术
背景情况:
- 在整形外科中正在实施基于能力的住院培训.
- 之前的研究已经确定了一些关键的整形手术能力.
- 数据表明,加拿大整形外科毕业生的儿科暴露有限.
研究的目的:
- 评估在核心儿科病例中整形外科住院医生的暴露和参与.
- 为了确定居民记录的儿科手术的数量和类型.
- 分析加拿大培训计划中儿科病例暴露的变化.
主要方法:
- 对整形外科住院病例日志 (2004-2014) 的回顾性,多中心审查.
- 包括10个加拿大的英语培训计划.
- 基于8个核心儿科能力的病例编码,使用修改后的Delphi技术.
主要成果:
- 5.2% (3061/59405) 的登记病例是核心儿科手术.
- 平均每位居民记录的儿科病例为55.6±23.0例.
- 案件数量 (85-731) 和居民角色 (主要是助理) 的显著变化.
结论:
- 整形外科住院项目显示儿科病例暴露的显著变化.
- 住院医生对核心儿科整形手术程序的参与有限.
- 进一步的课程开发和模拟可能是必要的,以满足儿科能力建议.
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