美国医学院毕业生准备过渡到外科住院:一项全国性研究
Douglas Grbic1, Daniel L Dent2, Daniel P Jurich3
1Medical Education Research, Association of American Medical Colleges, Washington, DC.
Journal of the American College of Surgeons
|October 7, 2025
概括
一小部分外科住院医生没有达到预期. 要求的过渡到住院课程提高了准备能力,而非类别的普通外科住院医生面临的挑战更多. 专注于临床效率是顺利过渡的关键.
科学领域:
- 医学教育 医学教育
- 外科住院培训外科住院培训
- 研究生医学教育研究生医学教育
背景情况:
- 越来越多地关注从本科医学教育 (UME) 过渡到研究生医学教育 (GME).
- 项目主管 (PD) 对居民准备的评估对于评估教育有效性至关重要.
研究的目的:
- 检查项目主任对研究生第一年 (PGY-1) 住院生准备进行外科住院的评估.
- 确定影响外科专业PGY-1准备程度的因素.
主要方法:
- 利用多变量逻辑回归来分析与PD预期相关的UME和GME变量.
- 从2020-2021年到2023-2024年的手术专业中检查了6,710名PGY-1的数据.
- 评估了GME前六个月"没有达到"和"满足/超过"总体PD预期的结果.
主要成果:
- 3.4%的PGY-1患者没有达到整体PD预期.
- 所需的专业特定的过渡到居住 (TTR) 课程与不符合预期的可能性较低 (aOR=0.68).
- 非类别的整体外科PGY-1有较高的不符合预期的几率 (aOR=2.01); "以有组织和及时的方式执行任务"是最常被引用的缺陷领域.
结论:
- 3.4%的外科住院医生未能满足最初的项目主任的期望.
- 合作的UME-GME倡议,特别是专注于临床效率和TTR课程,可以提高居民的准备.
- 结果支持有针对性的干预措施,以改善外科住院医生的UME到GME过渡.
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