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对血管外科项目主任在创造有效培训环境方面的经验进行多方法评估
Margaret A Reilly1, Christina L Cui2, Yue Jiang3
1Division of Vascular Surgery, Department of Surgery, Northwestern University, Chicago, IL.
Journal of vascular surgery
|September 4, 2025
概括
血管外科项目主任面临着促进学员健康的挑战,需要更多的资源和保护时间. 支持PD需要解决行政负担和资源缺口,以改善外科教育环境.
科学领域:
- 医学教育
- 手术培训
- 项目管理
背景情况:
- 外科培训,特别是血管外科,面临着影响学员健康的独特挑战.
- 在塑造外科实习生有效的学习环境方面, 项目主管 (PD) 发挥着至关重要的作用.
- 在最近的外科教育工作中, 改善学员的健康状况是重要的重点.
研究的目的:
- 检查血管外科医生在培养学员有效学习环境方面的经验.
- 确定血管外科的PD角色的资源,挑战和奖励方面.
- 探索PD感知资源与实习生健康指标之间的关系.
主要方法:
- 作为 SECOND 试验的一部分,对血管外科患者进行了保密的自愿调查.
- 调查包括关于健康干预,机构资源和需求的多项选择和自由答案问题.
- 通过Wilcoxon等级和诱导性定性分析,与PD调查结果一起汇总和分析了课程级训练员健康数据.
主要成果:
- 大多数PD报告了教师参与,研究生医学教育支持和行政支持.
- 主要需求包括工资支持,资助受保护的努力和自由裁量教育资金.
- 常见的挑战包括学员表现问题,人际冲突和机构目标不一致; 学员健康和PD感知资源之间没有显著的联系.
结论:
- 血管外科医生的工作要求很高,
- 识别PD的常见障碍和促进因素可以为广泛适用的健康干预措施的开发提供信息.
- 支持PD需要加强资源,例如资助保护工作,并减轻管理负担以优化外科培训环境.
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