保持开放外科活着:一种基于能力的方法来提高居民技能
Pamela B Andreatta1, Brenton Franklin1, Nicholas Koeberle1,2
1From the Department of Surgery, Uniformed Services University of the Health Science and the Walter Reed National Military Medical Center, Bethesda, MD; and.
概括
通过每季度的尸体培训,外科住院医生提高了开放的程序技能. 首席医生与外科医生在创伤手术中的表现相匹配,突出了有效的外科教育策略.
科学领域:
- 外科教育的外科教育
- 创伤外科 手术 创伤外科
- 基于尸体的培训
背景情况:
- 外科培训在平衡创伤/紧急手术技能发展方面面临挑战,手术机会有限.
- 需要创新的方法来确保住户掌握必要的开放外科手术技术.
研究的目的:
- 通过每季度的尸体指导,评估外科住院医生是否逐步获得开放的程序能力.
- 确定首席住院医生在进行开放性创伤手术时是否与主治外科医生达成平等.
主要方法:
- 为60名外科住院医生 (PGY1-PGY5) 实施了为期3年的四个模块,季度的基于尸体的开放程序课程.
- 评估了知识和程序能力,并将PGY5住院医生的表现与33次创伤手术的外科医生进行了比较.
主要成果:
- 居民在所有培训水平上都表现出持续的知识获取 (P < 0.01) 和程序性表现 (P < 0.05).
- 在33个创伤手术中,在PGY5住院医生和常务外科医生之间没有发现显著的绩效差异.
结论:
- 每季度的基于尸体的指导有效地提高了外科住院医生的复杂腹部和血管暴露的开放程序技能.
- 像这个尸体课程这样的创意教育方法,可以成功地为外科医生准备创伤和急诊手术的开放程序.
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