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评估以前预先外科实习生的表现和自主程度
Rebecca Moreci1, Kayla M Marcotte2, Rebecca S Gates3
1Department of Surgery, Center for Surgical Training and Research, University of Michigan, Ann Arbor, Michigan.
The Journal of surgical research
|July 19, 2024
概括
完成初步一年 (PP) 的外科住院医生表现出类似的教师评级的手术表现,但与传统的分类 (TC) 住院医生相比,自我评价的经验和自主性更高.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 居民评估的评估.
背景情况:
- 非指定的初级年度居民获得额外的培训年.
- 这种额外的经验可能会提高早期外科住院的表现.
- 预年居民的看法各不相同.
研究的目的:
- 为了比较一般外科住院医生的第一年手术表现,有或没有先前的初步年.
- 评估教师和自我评价经验和自主性的差异.
主要方法:
- 分析了第一年普通外科住院医生 (2015-2023) 的手术评估评级.
- 居民被分为前期预先 (PP) 或传统类别 (TC).
- 一般化的混合效应模型评估了性能和自主性的结果.
主要成果:
- 教师评级在"有更多经验"方面没有显著差异 (82%PP与76%TC,P=0.26).
- 在PP居民 (88%对80%,P=0.04) 中,教师评价的"一些自主权"更高.
- 自我评价的"更多经验" (77%PP对50%TC,P=0.01) 和"一些自主权" (87%PP对73%TC,P=0.02) 对PP居民来说显著更高.
结论:
- 完成预科一年的第一年普通外科住院医生表现出与教师评估的相似的手术表现.
- 预年居民在第一年报告了更大的自我感知体验和自主性.
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