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自主性和内部操作教学从教师和居民的角度
Meredith Essandoh1, Michael Chaney1, Alain Elian1
1Department of Surgery, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI.
Surgery
|December 23, 2025
概括
外科教师和住院医生在自主性方面达成一致,但在手术内教学方面存在分歧. 这凸显了需要调整两组评估外科住院技能的方式,以改善培训.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 居民评估的评估.
背景情况:
- 外科住院医生的自主性是培训的一个关键目标.
- 这项研究探讨了自主和手术内教学之间的联系.
- 评估是由教师和住院人员进行的.
研究的目的:
- 评估居民自主性和手术内教学之间的关系.
- 为了比较教师和居民对这些技能的看法.
- 在外科教育中确定一致和不一致的领域.
主要方法:
- 2,338次手术内评估 (2014年7月至2024年6月) 的回顾性分析.
- 运用了全球运营性能评级表和Zwisch自主性表.
- 相关性分析检查了教师和居民对自主性和教学的评分.
主要成果:
- 教师评级的教学与自主性之间的中等正相关性 (r=0.45).
- 居民评级教学与自主性之间的中等正相关性 (r=0.37).
- 教师和居民自主度得分之间的相关性中等 (r=0.44),但教学得分的相关性较弱 (r=0.13).
结论:
- 自主和教学之间有强烈的内部相关性,由教师和居民报告.
- 在对手术内教学的看法中存在显著的不一致.
- 需要更明确的评估标准来评估外科住院医生的自主性和教学.
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