儿科泌尿学培训的现状:住院能力预期与住院能力预期. 感知能力 感知能力
Kerry Adler1, Kaitlyn Sbrollini1, Katie Yang2
1Urology, Stony Brook University Hospital, Stony Brook, USA.
Cureus
|December 4, 2025
概括
儿科泌尿病学住院医生表现出熟练度差距,未能达到项目主管和泌尿病学家的期望. 这凸显了需要解决首席医师的培训,期望和现实的实践要求.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 外科教育的外科教育
- 居民培训 居民培训
背景情况:
- 在儿科泌尿病学中,首席住院医生的自主权对于发展外科技能至关重要.
- 了解项目主管 (PD) 和儿科泌尿科医生的期望是评估居民准备能力的关键.
- 评估预期和观察到的住院人员表现之间的差距对于改善外科教育至关重要.
研究的目的:
- 评估项目主管 (PD) 和儿科泌尿科医生对儿科泌尿病程序中首席住院医生的自主权的期望.
- 将这些预期与观察到的居民业绩进行比较.
- 为了确定预期与实际居民熟练程度的差异.
主要方法:
- 通过儿童泌尿病学会 (SPU) 和美国泌尿病学PDs向儿科泌尿科医生分发了两个国家调查.
- 经过验证的Zwisch尺度被用于评估儿童泌尿病病例中首席住院医生绩效的期望.
- 此外,SPU调查还收集了观察到居民表现的数据.
主要成果:
- 在SPU中,应答率为32%,在PD中为33%.
- 在所有病例类型中,PDs报告了对首席住院主管自治的期望高于儿科泌尿科医生.
- 观察到的住院熟练程度始终低于PD和儿科泌尿科医生的预期,特别是在复杂的程序中.
结论:
- 尽管有结构化的培训,但在儿科泌尿病学方面的预期和实际首席住院医生熟练程度之间存在很大的差距.
- 儿科医生和儿科泌尿科医生之间的期望差异可能源于子专业化和多种多样的暴露.
- 建议包括加强儿科培训,调整期望,并将住院目标与未来的实践需求结合起来.
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