教育研究:病手术教育的评估和临床神经生理学奖学金计划
Hernan Nicolas Lemus1, Barbara A Dworetzky1, Ellen J Bubrick1
1From the Departments of Neurology (H.N.L., B.A.D., E.J.B., S.T.) and Neurosurgery (G.R.C.), Brigham and Women's Hospital, Boston, MA.
Neurology. Education
|August 14, 2025
概括
手术培训计划的研究员在高人数的中心获得了更多的经验. 培训和评估在各个项目之间有很大的差异,突出了改善手术管理能力的领域.
科学领域:
- 神经外科 神经外科
- 发病学 (Epileptology) 是一个专业的学科.
- 医学教育 医学教育
背景情况:
- 评估外科暴露和培训美国和临床神经生理学 (CNP) 计划的研究员.
- 评估与手术手术程序中同事参与度增加相关的因素.
研究的目的:
- 确定美国奖学金计划中手术培训的范围.
- 确定影响同学参与手术的特征.
主要方法:
- 发送给成人和CNP-EEG奖学金的项目主管的10个问题多选项调查.
- 该调查涵盖了计划细节,手术量,学员参与和绩效评估.
- 数据使用费舍尔精确测试进行分析.
主要成果:
- 在72个项目中,有37个项目做出了回应 (51%的回应率).
- 大多数项目 (68%) 每年进行>30次手术;研究员参与了1-30次手术.
- 大批量中心 (>50个病例/年) 提供更大的同伴暴露 (>10个病例/年) (77%对33%,p=0.017).
- 奖学员最多参与了手术前的规划;教师评估主要用于能力评估.
结论:
- 大量的手术中心增加了学员的接触.
- 在手术暴露,实习生参与和评估方法方面存在显著的变化.
- 具体的程序改进可以提高手术的同事能力.
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