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在时间之际:同日模拟配对手术诊所为内科住院医生
Brandon Fainstad1, Lisa Thompson2, Molly Brett3
1is an Associate Professor, Division of General Internal Medicine, University of Colorado, and Director, Rapid Access and Procedure Clinic, Rocky Mountain Regional Veteran Affairs, Aurora, Colorado, USA.
Journal of graduate medical education
|February 16, 2026
概括
内科住院医生可以通过模拟配对手术诊所 (SPPC) 增加手术量并增强学习. 这种创新的培训模式可以提高技能获取和居民经验,而无需额外费用.
科学领域:
- 医学教育 医学教育
- 内部医学培训培训 内部医学培训
- 基于模拟的学习
背景情况:
- 内科住院医生由于对服务的依赖和竞争性需求,对门诊手术的机会有限.
- 基于模拟的培训可以在短期内提高技能,但需要及时应用和对临床能力的反.
研究的目的:
- 评估同日模拟配对手术诊所 (SPPC) 的可行性和教育影响.
- 评估SPPC对程序量,认知负载和住院经验的影响.
主要方法:
- 内科住院医生 (PGY-1) 完成了每周的模拟,随后是当天的手术诊所.
- 分析了程序体积变化,认知负载调查和定性访谈.
- 该课程使用现有资源实施,没有额外费用.
主要成果:
- 在SPPC实施后,平均年度程序量增加了96%.
- 居民报告的德语负载 (以学习为中心的努力) 比外部负载 (无关紧要的努力) 高.
- 定性分析揭示了系统的技能发展和对学习的提高重点.
结论:
- 在现有的临床基础设施内,同一天的SPPC是可行的.
- SPPC模型增加了程序性机会,并增强了居民报告的以学习为中心的认知参与.
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