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在外科瘤手术程序的住院和同事表现和监督
Patrick W Underwood1, Jeremy A Balch2, Amanda C Filiberto3
1From the Department of Surgery, The Ohio State University, Columbus, OH (Underwood, Cloyd, Pawlik).
Journal of the American College of Surgeons
|June 19, 2024
概括
高级外科住院医生和研究员往往缺乏适当的监督,即使在一般外科瘤学中表现出实践准备的表现. 这凸显了为加强外科培训和患者安全而进行量身定制的监督的迫切需要.
科学领域:
- 外科教育的外科教育
- 运营绩效基准测试 运营绩效基准测试
- 监督级别 监督级别 监督级别
背景情况:
- 有关一般外科培训和准备实践的奖学金的充分性存在担忧.
- 根据实习生能力量身定制的监督可以解决这些培训缺口.
- 这项研究对高级住院医生和一般外科瘤学研究员的手术表现和监督进行了基准测试.
研究的目的:
- 为了对高级外科住院医生 (PGY-4或 -5) 和研究员的手术表现和监督水平进行比较.
- 在一般的外科瘤手术程序中评估实习生和参加者绩效评估和监督.
主要方法:
- 分析了来自103个实习生和奖学金计划的观察数据.
- 核心的一般性外科瘤手术程序被分为乳腺/软组织,内分泌和肝肝.
- 实习生和参加者评估被用于对操作绩效和监督水平进行比较.
主要成果:
- 在所有手术类型 (例如,乳腺/软组织:38%的住院人,48%的研究员) 中,在所有手术类型中,住院人和研究员的比例较低.
- 即使实现了实践准备的表现,监督也只在很小一部分情况下提供 (实习生:17-18%,护理人员:21-25%).
- 在程序复杂性方面,在绩效和监督方面发现了显著的差异.
结论:
- 常务外科医生很少为高级住院医生和外科瘤学研究员提供与绩效相称的监督.
- 对于外科培训计划来说,存在着迫切的需要,为高绩效的学员提供更大的独立性.
- 基于经过证明的熟练程度,优化监督对于有效的外科培训至关重要.
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