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自我评估和辅导技术在内科住院同行辅导计划中使用
Stefanie J Soelling1, Lily V Saadat2, Joshua S Jolissaint2
1Department of Surgery, Brigham & Women's Hospital, Boston, Massachusetts; Ariadne Labs, Boston, Massachusetts.
Journal of surgical education
|October 2, 2024
概括
年轻的外科住院生在同行辅导课程中有效地使用了自我评估和辅导原则. 首席医生提供了建设性的反和协作分析,以提高技术和非技术操作技能.
科学领域:
- 外科教育的外科教育
- 医疗模拟 医疗模拟
- 同行对同行学习 (Peer-to-Peer Learning) 是一种学习方式.
背景情况:
- 外科住院医生的教育依赖于有效的反和自我评估.
- 同行辅导为外科手术技能发展提供了一种新的方法.
- 实施了手术辅导以提高操作性能 (SCOPE) 的课程.
研究的目的:
- 为了评估初级居民的自我评估.
- 评估首席居民教练是否使用有效的辅导原则.
- 分析同行外科辅导计划对手术表现的影响.
主要方法:
- 在一个学术医疗中心的整体外科住院计划.
- 16名初级住户 (PGY1-3) 和6名首席住户 (PGY5) 参与.
- 分析了18个记录的辅导报告,以进行自我评估和辅导原则 (目标设定,协作分析,建设性反,行动计划).
主要成果:
- 所有的汇报都包括初级居民的自我评估.
- 所有会议都使用了4个有效的辅导原则中的至少3个.
- 协作分析和建设性反是最常见的,涉及技术 (例如定位,剖析) 和非技术技能 (例如沟通,决策).
结论:
- 年轻居民在同行指导期间经常进行自我评估.
- 首席医生有效地应用了辅导原则来促进技能发展.
- 同行辅导计划有助于使用先进的教学技术来提高运营绩效.
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