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实习生是否在工作中学习如何获得外科手术程序的适当知情同意?
Michael Lamb1, John M Woodward1, Brian Quaranto1
1Department of Surgery, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, NY.
Journal of surgical education
|July 18, 2024
概括
一年外科住院经验并没有提高住院人员获得外科知情同意 (SIC) 的能力. 需要正规教育来提高SIC技能,因为信心与绩效没有相关性.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 患者沟通 患者沟通
背景情况:
- 手术知情同意 (SIC) 是居民的关键技能,通常是通过在职培训来学习的.
- 缺乏正规教育可能会阻碍外科实习生发展有效的SIC实践.
研究的目的:
- 评估一年的临床经验对外科住院医生在获得SIC方面的表现的影响.
- 评估从PGY1到PGY2的进展是否可以在没有正式指导的情况下提高SIC技能.
主要方法:
- 一项涉及PGY1和PGY2外科住院医生的病例控制队列研究.
- 住院居民接受了SIC经验和信心调查,然后通过标准化的患者遭遇对右侧半球切除术进行评估.
主要成果:
- PGY2居民比PGY1居民有更多的SIC经验 (p=0.001).
- 在PGY1和PGY2居民之间,在自我报告的信心,知识或SIC测试或标准化患者访谈上的表现上没有发现显著差异.
- 两组都充分解决了一般风险,但在处理特定程序的风险方面遇到了困难,例如静脉漏.
结论:
- 一年临床经验并不能提高外科住院医生在没有正式教育的情况下获得SIC的表现.
- 尽管经验增加了,但信心水平并没有改善.
- 应在外科住院计划的早期实施SIC的结构化课程.
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