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高级血管外科综合住院生和研究员取得的操作能力和自主性
Aqiyl Mills1, Brock Coleman2, Ting Sun3
1Department of Surgery, University of Virginia School of Medicine, Charlottesville, VA.
Journal of vascular surgery
|January 30, 2025
概括
综合血管外科住院和传统奖学金计划的毕业生表现出可比的手术性能和自主性. 这两种培训途径都确保为独立的血管外科手术实践提供了相似的准备.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 血管外科 血管外科
背景情况:
- 血管外科有两个主要的培训途径:综合住院和传统的奖学金.
- 操作案例要求相似,但缺乏研究生能力比较.
研究的目的:
- 为了比较血管整合住院医生 (VIRs) 和血管外科研究员 (VSFs) 在最后一年的培训中之间的手术性能和自主性.
主要方法:
- 在全国范围内 (2018-2022) 通过SIMPL OR应用程序收集的运营评估.
- 使用通用线性混合模型的统计分析比较了VIR和VSF的性能和自主性.
- 根据病例复杂性和手术类型 (开放/内血管) 进行控制;包括教师和实习生的自我评估.
主要成果:
- 在VIR和VSF之间的操作性能或自主性的教师或实习生的自我评估中没有发现显著差异.
- 分析了来自106名实习生和25个课程的94名教师的4927项评估.
- 即使对病例复杂性和程序类型进行了校正,结果仍然是真实的.
结论:
- 血管整合住院生和血管外科研究员在毕业后达到类似的手术性能和自主性.
- 这两种培训模式都产生了同等的能力,表明了对独立实践的相似准备.
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