术前教育简报:系统审查和基于证据的新框架
Joel Norton1,2,3, Olivia Ambler4, Heather Lillemoe5,6
1Surgical Sabermetrics Laboratory, Usher Institute, University of Edinburgh, Edinburgh, UK.
The British journal of surgery
|March 11, 2025
概括
结构化的手术前教育简报显著提高了外科医生的培训和患者的结果. 新的"目标,自主性,准备和战略" (GAPS) 框架提供了一种基于证据的方法,用于在外科教育中一致实施.
科学领域:
- 外科教育的外科教育
- 医疗培训 医学培训
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 术前教育简报对于外科培训至关重要,涉及训练员的目标设定和操作策略.
- 这些简报的最佳交付和对外科学习和表现的好处尚未明确.
- 这项研究旨在确定简报模板中的共同主题,评估它们对外科教育和绩效的影响,并提出一个结构化的框架.
研究的目的:
- 从手术前教育简报模板中提取共同的主题.
- 检查教育简报对外科教育和绩效指标的影响.
- 为实施手术前教育简报提出一个基于证据的,结构化的框架.
主要方法:
- 在MEDLINE,Embase,PubMed和Web of Science数据库中的系统文献搜索,截至2024年5月15日.
- 包括涉及外科实习生和手术室教育简报的研究.
- 使用Kirkpatrick的学习评估模型组织的简报模板和成果措施的专题分析.
主要成果:
- 20项研究在7174名选者中满足了纳入标准;17项研究比较了简报前和后的指标.
- 在95个统计学意义上的结果中,有93个在实施教育简报后出现了改善.
- 在反应,学习,行为 (例如,目标设定) 和手术结果 (例如,学员自主) 中观察到的好处.
结论:
- 结构化的手术前教育简报显著改善了外科医生的教育和表现.
- 拟议的"目标,自治,准备和战略" (GAPS) 框架提供了一种标准化,基于证据的方法.
- GAPS框架可以在所有外科专业和医疗保健系统中实施,以加强培训.
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