Lunsford L Dade, Kassam Amin, Chang Yue-Fang
Department of Neurological Surgery, University of Pittsburgh Medical Center, Presbyterian University Hospital, 200 Lothrop Street, Pittsburgh, PA 15213, USA.
Neurosurgery. 2004 Feb;54(2):239-45; discussion 245-7. doi: 10.1227/01.neu.0000103445.25535.0e.
The field of neurosurgery in the United States faces many challenges. Neurosurgical program directors in the United States represent a logical source for inquiries about manpower issues, the training process, and Residency Review Committee (RRC) oversight.
Ninety-one active residency program directors were sent an anonymous 31-question survey. The respondents were given the option of adding additional comments. The questions were designed to address issues related to manpower, the training process, and RRC governance. Sixty-one responses were returned before an email reminder and 11 after the reminder (a total response rate of 79%). The data were entered into a database, and a descriptive analysis, with frequency distribution, was performed.
The purpose of this review was to gain a preliminary understanding of the perceptions of program directors regarding the neurosurgical training process, the RRC, the oversight process, and projected manpower needs. A 79% response rate is high for a mail survey and likely reflects heightened concern and interest in such issues. The survey responses indicate general satisfaction with the role and governance of the RRC, significantly divergent perceptions of resident output and available positions, and serious concerns regarding the current training process.
This survey suggests that a broader discussion of resident training issues would be valuable, perhaps using validated survey instruments.
美国神经外科领域面临诸多挑战。美国神经外科住院医师培训项目主任是了解人力问题、培训过程以及住院医师评审委员会（RRC）监督情况的合理信息来源。
向91位在职住院医师培训项目主任发送了一份包含31个问题的匿名调查问卷。受访者可选择添加额外评论。这些问题旨在解决与人力、培训过程以及RRC管理相关的问题。在发送邮件提醒前收到61份回复，提醒后收到11份回复（总回复率为79%）。数据录入数据库后进行了带有频率分布的描述性分析。
本次综述的目的是初步了解项目主任对神经外科培训过程、RRC、监督过程以及预计人力需求的看法。对于邮件调查而言，79%的回复率较高，这可能反映出对这些问题的关注度和兴趣有所提高。调查回复表明对RRC的作用和管理总体满意，对住院医师产出和可用职位的看法存在显著差异，以及对当前培训过程存在严重担忧。
本次调查表明，或许使用经过验证的调查工具对住院医师培训问题进行更广泛的讨论将很有价值。
