手术辅导以优化表现:在手术辅导干预期间显示的感知认知专业知识
Sarah E Bradley1, Mary E Byrnes2, Evan Monge3
1Center for Healthcare Outcomes and Policy, University of Michigan Medical School, Ann Arbor, Michigan.
Journal of surgical education
|February 15, 2026
概括
使用视频审查进行的外科辅导有效地完善了外科医生的感知认知技能,增强了手术内决策和安全. 这种方法使专家的思维变得可见,并可用于持续的专业发展.
科学领域:
- 医学教育 医学教育
- 手术认知 术术认知
- 提高质量 提高质量
背景情况:
- 外科医生需要先进的感知认知技能来进行复杂的手术.
- 培训后发展这些技能的机会有限.
- 手术同行指导显示了潜在的认知技能增强.
研究的目的:
- 探索基于视频的同行辅导对外科医生的感知认知技能的影响.
- 确定如何在同行辅导环境中练习和完善认知技能.
主要方法:
- 纵向,基于视频的小组同行辅导计划与13名执业外科医生.
- 在四年内进行了九次录制的会议,包括操作视频审查和促进讨论.
- 对会议成绩单的交互分析,以检查技能发展.
主要成果:
- 练习的关键技能:模式识别,情境概率评估和提示识别.
- 外科医生将推理语言化,比较心理模型,并反思不确定性.
- 协作讨论和视频评论使认知过程变得明确和可教.
结论:
- 基于视频的同行指导是经验丰富的外科医生故意练习的可行模型.
- 反思性的讨论和共享的推理增强了感知认知专业知识.
- 将认知指导整合到外科教育和质量改进中.
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