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医学教育和外科培训中的不同途径的比较:全球外科医生调查
Alexandra Bucknor1, Rachel Pedreira2, Deepa Bhat3
1From the Regional Plastic, Maxillofacial and Burn Unit, Hutt Hospital, New Zealand.
Plastic and reconstructive surgery. Global open
|October 30, 2024
概括
全球的外科培训差异很大,在教育长度,工作时间和债务方面存在差异. 建议包括标准化教育,优化工作时间和支持家庭建设,以提高外科手术职业.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 全球健康 全球健康
背景情况:
- 全球对外科手术职业兴趣的下降与需求的增加形成鲜明对比.
- 在外科医生的吸引力,教育和培训方面存在国际差异.
- 缺乏比较分析阻碍了确定最佳实践.
研究的目的:
- 为了比较外科医生发展的国际途径.
- 确定外科教育和培训的最佳实践.
- 为了提高外科手术作为职业的吸引力.
主要方法:
- 对跨专业的外科医生进行匿名国际调查.
- 70个问题调查工具.
- 使用SPSS统计数据进行数据分析,显著性为P <0.05.
主要成果:
- 受访者:463名外科医生 (美国59%,英国16%,欧洲10%,加拿大5%,世界其他地区10%),平均年龄46岁,64%是女性.
- 教育途径各异:美国 (91%) 有医学前大学,非美国/加拿大 (93%) 有5-6年的医学院.
- 培训时间往往超过任务 (76%>80小时/周),债务不同 (欧洲14k美元至美国179k美元),很少有人认为培训支持家庭建设 (19%).
结论:
- 建议最长6年的大学/医学教育.
- 倡导取消非外科培训年,采用单一方案的外科培训.
- 提出客观的工作时间测量,优化工作时间,支持家庭建设和培训结束认证.
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