Gold Jeffrey P, Verrier Edward A, Olinger Gordon N, Orringer Mark B
Department of Cardiovascular and Thoracic Surgery, The Albert Einstein College of Medicine-Montefiore Medical Center, Bronx, New York 10467, USA.
Ann Thorac Surg. 2002 Nov;74(5):1741-6; discussion 1746. doi: 10.1016/s0003-4975(02)04021-3.
The TSDA Prerequisite Curriculum Committee has successfully developed the content for a didactic curriculum to be mastered by the residents before their matriculation in a thoracic surgical residency program. In addition the committee assembled an innovative electronic format consisting of a CD-ROM Internet Hybrid to teach this curricular material. By use of a serialized CD-ROM Internet Hybrid it is possible to store relatively dense high bandwidth portions of the curriculum including video and audio materials on the CD-ROM and yet allow constant updating and interaction of the other portions of the curriculum. In addition, it is possible to track the performance and utilization by the residents during the entire course of their residency program. By studying the relationship between the utilization of the curriculum, particularly as it relates to certain subject areas, and comparing that to performance or standardized examinations as well as other measurements of resident satisfaction, the efficacy of the prerequisite curriculum will be tracked during the upcoming years. It is anticipated that the process of developing the content of the prerequisite curriculum will allow the residents and program directors to focus on the subject material currently deemed necessary for successful initiation of a thoracic surgery residency, and that by keeping this subject material outline up-to-date, the changing spectrum of what we anticipate our residents will know at the time of their matriculation will continue to mature. Although electronic-based education has been available for a number of years, a prospective randomized study comparing it with traditional textbook-based learning is novel. Multiple attempts have been made to implement Web-based or CD-ROM-based educational tools in other specialties with variable results. It is our anticipation that successful completion of this project will not only allow for the use of an innovative highly technical means of education for our residents but may in turn become broadly applicable to many other types of educational projects within thoracic surgery education. This may also be applicable to other types of educational projects in the postgraduate education industry and other venues as well. The conduct of a scientific study monitoring the impact of this curriculum project as well as the acceptance of the project by the resident is also relatively unique and will be scrutinized by numerous professional medical and educational groups.
胸外科医师协会（TSDA）预科课程委员会已成功开发出一套教学课程内容，供住院医师在进入胸外科住院医师培训项目之前掌握。此外，委员会还编制了一种创新的电子形式，即光盘与互联网混合形式，用于教授这些课程材料。通过使用序列化的光盘与互联网混合形式，可以将课程中相对密集、高带宽的部分，包括视频和音频材料存储在光盘上，同时允许课程的其他部分不断更新和互动。此外，还可以跟踪住院医师在整个住院医师培训项目期间的表现和使用情况。通过研究课程使用情况之间的关系，特别是与某些学科领域相关的关系，并将其与表现或标准化考试以及住院医师满意度的其他衡量标准进行比较，预科课程的效果将在未来几年得到跟踪。预计预科课程内容的开发过程将使住院医师和项目主任能够专注于目前被认为是成功开始胸外科住院医师培训所必需的主题材料，并且通过保持这一主题材料大纲的最新状态，我们预计住院医师入学时所应掌握知识的不断变化的范围将继续成熟。尽管基于电子的教育已经存在多年，但将其与传统的基于教科书的学习进行前瞻性随机研究还是新颖的。在其他专业中已经多次尝试实施基于网络或光盘的教育工具，但结果各不相同。我们预计，该项目的成功完成不仅将为我们的住院医师提供一种创新的、高科技的教育手段，而且可能反过来广泛适用于胸外科教育中的许多其他类型的教育项目。这也可能适用于研究生教育行业和其他场所的其他类型的教育项目。对该课程项目的影响进行科学研究以及住院医师对该项目的接受情况，这一做法也相对独特，并将受到众多专业医学和教育团体的审查。
