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暴露在美国一般外科住院期间的农村实践:项目如何选择地点并维持农村轮流?

James E Coverdill¹, Jeff S Shelton², Benjamin T Jarman³

¹Department of Sociology, 355 S Jackson St, Baldwin Hall, University of Georgia, Athens GA.

Journal of surgical education

|August 25, 2025

概括

外科住院计划越来越多地使用该计划的毕业生和医疗保健系统的联系来建立和维护农村轮流. 这些战略有助于确保农村培训经验的教育价值和可持续性.

科学领域:

医学教育
手术培训
农村卫生

背景情况:

越来越多的农村外科医生需要有效的培训模式.
关于建立和维持农村居民手术轮换的系统数据有限.

研究的目的:

调查一般外科住院计划所采用的策略,以建立和维持农村轮流.
确定影响农村外科培训成功的关键因素.

主要方法:

网站审查342个ACGME列出的民用手术项目,以识别那些农村轮流.
通过电子邮件确认所有计划以验证轮换产品.
与58名整体外科项目负责人进行定性访谈, 探讨他们对农村轮流的策略.

主要成果:

81个项目 (24%) 提供农村轮流.
项目经常使用外部农村站点 (59%),而不是内部站点 (41%),尽管内部站点更受欢迎.
专业联系,特别是与项目校友 (64%) 的联系,对于建立和维持轮换,增强教育信心和作为招聘工具至关重要.

结论:

对于成功的农村外科轮换来说, 与项目毕业生的专业联系和与医疗保健系统的整合至关重要.
选择和维持农村培训场所存在多种方案策略,表明多种可行的方法.

关键词:

一般外科住院医疗保健系统专业网络农村实践农村轮换外科教育

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