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泌尿外科住院外科自主化的趋势:ACGME首席住院病例记录显示了什么?
Niccola B Lynch1, Jonah Samuel2, Zachary Corey3
1Columbia University Vagelos College of Physicians and Surgeons, New York, NY.
Urology
|June 5, 2025
概括
根据手术类型,泌尿外科住院医生的手术自主性有所不同,瘤科的手术自主性最低. 首席居民自主性得分从2010年到2021年大幅下降,影响了培训和未来的实践.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 手术自主性对于住院人员的发展至关重要.
- 了解居民自主性的趋势对于有效的泌尿器科培训至关重要.
研究的目的:
- 分析泌尿病科住院医生的随着时间的推移而发生的外科自主性的趋势.
- 为了检查手术自主性如何在泌尿外科手术子类型之间有所不同.
主要方法:
- 追溯审查364名首席泌尿科医生住院院士医学研究生教育认证委员会 (ACGME) 病例日志 (2010-2021年).
- 自主性根据居民角色 (助理,外科医生,教外科医生) 进行评估,并计算自主性得分.
- 统计分析包括ANOVA和通用估计方程.
主要成果:
- 根据手术类型,自主度得分有显著差异:一般泌尿病/内泌尿病 (最高),重建/儿科 (第二),瘤 (最低).
- 自主性的差异在机构之间比在机构内更大.
- 从2010年到2021年,观察到平均自主性得分的显著下降 (每年0.007).
结论:
- 泌尿外科住院的外科自主性因手术而异,瘤手术提供最少的自主性.
- 随着时间的推移,首席住院医师的手术自主性显著下降.
- 这些发现表明,这对居民的信心和对独立实践的准备有潜在的影响.
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