检查服务中准备最有影响力的策略:系统性审查
Nojan Bajestani1, Anusha Singh1, Mykal Gerald2
1Ohio State College of Medicine - 1645 Neil Ave, Columbus, OH 43210.
Journal of surgical education
|July 6, 2024
概括
整形外科缺乏关于改善整形外科在职检查 (PSITE) 成绩的研究. 整形外科有有效的策略,如补救和专门的学习时间,整形外科可以调整以提高住院人员的表现.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 评估和评价的评估和评估.
背景情况:
- 整形外科在职考试 (PSITE) 对于预测董事会认证和住院进展的成功至关重要.
- 在整形外科文献中,与一般外科相比,在最佳PSITE准备策略方面存在很大的差距.
研究的目的:
- 确定关于PSITE准备策略的研究范围.
- 从整体外科和整形外科文献中确定有效的学习策略和课程干预措施.
- 引导居民和项目优化PSITE性能.
主要方法:
- 在PubMed和EMBASE中从2012年到2022年进行了PRISMA指导的文献搜索.
- 包括的研究重点是改善服务中的考试成绩在一般和整形外科的战略.
- 只有报告可测量的结果 (原始得分,百分位数或百分比正确) 的研究才被分析.
主要成果:
- 对30篇文章的分析揭示了两个干预类别:个人学习习惯和机构课程干预.
- 一般外科的文献 (27篇文章) 显示了强制性补救,专用学习时间和基于问题的学习等干预措施的积极影响.
- 整形外科文献 (3篇文章) 对干预措施的讨论有限,所有讨论都集中在课程方面.
结论:
- 整形外科领域没有足够的基于证据的策略来提高PSITE的性能.
- 建议复制成功的整体手术干预措施,并进一步调查PSITE准备.
- 提高PSITE的性能可以提高居民教育和患者护理.
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