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经营性表现和跨培训年的自主性:初步一年是否重要?

Rebecca Moreci¹, Kayla M Marcotte², Alyssa Pradarelli¹

¹Center for Surgical Training and Research, Department of Surgery, University of Michigan, Ann Arbor, MI.

Journal of surgical education

|October 30, 2024

概括

预先手术的住院医生表现出与传统的分类住院医生可比的手术性能和自主性. 这些发现表明,完成初步一年不会对居民的整体培训成果产生负面影响.

科学领域:

外科教育的外科教育
医学培训成果医学培训成果
居民绩效评价居民绩效评价

背景情况:

预先的手术职位往往带有耻辱感,可能会影响到过渡到分类角色的居民.
很少有人知道,完成预科一年的普通外科住院医生在培训期间的表现是否与他们的分类同龄人不同.

研究的目的:

为了比较完成预科一年的普通外科住院医生的手术表现和自主性,与没有完成预科一年的住院医生进行比较.
调查所有五年住院培训的潜在差异.

主要方法:

来自SIMPL应用程序的教师评级收集了89个项目 (2015-2023) 的1,108个类别的普通外科住院医生.
居民被分为"以前的预先" (PP) 或"传统类别" (TC).
使用通用的混合效应模型分析了运营性能和自主性,比较了"有能力"与"无能力"以及"有意义的自主性"与"没有有意义的自主性"等级.

主要成果:

对42,416项评估的分析显示,在PP和TC居民在初级或高级级别之间实现"有能力"评级的调整后的概率中没有显著差异.
同样,在PP和TC居民在初级或高级培训年实现"有意义的自治"的调整后的概率中也没有发现显著差异.

结论:

预先 (PP) 和传统的分类 (TC) 居民在整个居住期间表现出类似的操作性能和自主性评级.
这些发现可能有助于减轻与初步手术培训相关的耻辱感,尽管建议对老年住院人员进行进一步研究.

关键词:

以前的初步居民.运营自主权运营自主权运营业绩的表现运营业绩的表现进行外科手术培训.

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