DaRosa D A, Prystowsky J B, Nahrwold D L
Department of Surgery, Northwestern University Medical School, 251 East Huron, Wesley Suite 201, Chicago, Illinois, 60611-2950 USA.
Teach Learn Med. 2001 Winter;13(1):21-6. doi: 10.1207/S15328015TLM1301_5.
A comprehensive and up-to-date curriculum requires periodic formal review to ensure it continues to meet learners' needs.
This study describes a model for evaluating a surgery clerkship curriculum designed to determine the appropriateness of its learning objectives to the general professional education of a physician.
A survey was mailed to graduates who pursued generalist residencies. Respondents estimated the number of patients encountered annually with specified presenting complaints or disease entities and the percentage of time these were referred to surgeons. For 23 technical procedures, respondents estimated the frequency done annually and whether remaining proficient in the skill was considered important.
The majority of graduates reported the need to remain proficient in 19 technical procedures. Numerous patient problems were identified as requiring careful instruction so that learners know when and when not to refer for surgical intervention.
The clerkship was modified to include skills and topics not previously included or appropriately emphasized.
全面且与时俱进的课程需要定期进行正式审查，以确保其持续满足学习者的需求。
本研究描述了一种评估外科实习课程的模型，旨在确定其学习目标对医师一般专业教育的适用性。
向从事普通专科住院医师培训的毕业生邮寄了一份调查问卷。受访者估计每年遇到的具有特定主诉或疾病实体的患者数量，以及这些患者被转诊给外科医生的时间百分比。对于23项技术操作，受访者估计每年进行的频率以及保持技能熟练是否被认为很重要。
大多数毕业生表示需要保持19项技术操作的熟练程度。许多患者问题被确定需要仔细指导，以便学习者知道何时以及何时不转诊进行手术干预。
对实习课程进行了修改，纳入了以前未包括或未适当强调的技能和主题。
