从期望到经验:项目总监优先级与居民病例日志的比较
Taylor S Erickson1, Yoon Soo Park2, Sean Hogan3
1Department of Otolaryngology-Head & Neck Surgery, University of California, San Francisco, California, USA.
The Laryngoscope
|February 22, 2026
概括
耳鼻喉科 - 头部外科 (OHNS) 的外科住院培训显示,对必要程序的暴露有显著差异. 许多关键的手术很少被记录,这凸显了需要完善能力指标和课程,以获得更好的外科教育成果.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 耳鼻喉科 - 头部和部外科 (OHNS)
背景情况:
- 现代外科教育面临诸多挑战,包括工作时间限制和专业化.
- 耳鼻喉科 - 头部外科 (OHNS) 培训正在转向基于能力的模式.
- 有效的培训需要定义与当前实践一致的基本能力.
研究的目的:
- 确定项目主管定义的基本OHNS程序.
- 通过使用国家病例日志,分析居民对这些基本程序的接触.
- 评估培训要求与实际居民经验之间的一致性.
主要方法:
- 一项电子调查被发送给了122名OHNS项目主管.
- 评估了111种手术,其中47种被归类为必不可少 (≥75%的同意).
- 分析了来自1480个OHNS居民的医学研究生教育认证委员会 (ACGME) 病例日志 (2014-2019) 的数据.
主要成果:
- 该调查获得了41%的项目主管的响应率.
- 在111个程序中,有47个程序被项目主管认为是必不可少的.
- 一些ACGME关键指标程序 (例如鼻整形) 不被认为是必要的.
- 在居民对基本程序的暴露中发现了显著的变化,近一半记录了<10倍.
结论:
- 居民对基本的OHNS手术的暴露程度差异很大.
- 许多重要的程序在居住期间不经常记录.
- 调查结果建议改进ACGME指标和重新设计课程,以改善对罕见程序的接触,并使培训与实践保持一致.
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