在整体外科培训计划中的文化探索:一个范围审查
Katrina Monton1, Olivia Monton2, Ann-Margret Ervin3
1Department of Organization and Leadership, Teachers College, Columbia University, New York, NY.
Annals of surgery
|September 10, 2025
概括
这次审查发现,在整体外科住院计划中,了解文化有多种方法. 需要一个统一的战略来推进外科教育领域的研究.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 组织文化 组织文化
背景情况:
- 目前关于整体外科住院计划的研究往往集中在诸如虐待和倦怠等孤立问题上.
- 缺乏对整体文化,气候和学习环境的全面分析.
研究的目的:
- 系统地探索在整体外科住院培训中对文化的概念化,调查和测量.
- 在评估外科培训文化方面,确定现有的方法和知识差距.
主要方法:
- 使用五个主要数据库 (PubMed,Embase,Cochrane,CINAHL,APA PsycInfo) 进行了系统范围审查.
- 搜索组合了受控的词汇和关键词,与文化,环境,气候和整体外科培训有关.
- 两个独立的评论员选了标题,摘要和全文,随后进行了叙事综合.
主要成果:
- 七项研究符合纳入标准,主要来自美国 (85.7%).
- 很少有研究 (2/7) 定义文化,只有三个 (3/7) 使用验证的仪器来测量文化,气候或学习环境.
- 这些研究考察了各种各样的方面,包括培训,工作量,福利,工作时间,虐待和工作满意度.
结论:
- 在一般外科住院文献中,文化如何评估存在显著的异质性.
- 评估组织文化的更标准化的方法对于推进外科教育领域至关重要.
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