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新西兰奥克兰地区卫生局一年级住院医生的操作技能。

Procedural skills of first-year postgraduate doctors at Auckland District Health Board, New Zealand.

作者信息

Old Andrew, Naden Gill, Child Stephen

机构信息

Clinical Education and Training Unit (CETU), Auckland District Health Board, Private Bag 92024, Auckland, New Zealand.

出版信息

N Z Med J. 2006 Feb 17;119(1229):U1855.

PMID:16498482
Abstract

AIMS

To determine whether the current skills list for postgraduate year 1 (PGY1) training in New Zealand is appropriate and an accurate reflection of the experience gained in this year.

METHODS

PGY1 doctors at Auckland District Health Board were surveyed about their experience with 86 skills at the beginning and at the end of their first postgraduate year; 28 of these skills were from the Medical Council of New Zealand's (MCNZ) 'Indicative List of Skills' for PGY1.

RESULTS

The response rate was 79% for the first survey and 66% for the follow-up. By the end of the PGY1 year, all doctors had performed 21% of the skills listed by the MCNZ, compared to 4% at the beginning of the year. Thirty-nine percent of the skills defined as important to achieve during PGY1 by the MCNZ had been performed by less than half our sample at the end of their PGY1 training.

CONCLUSIONS

There is a significant discrepancy between the skills expected of graduates at the end of PGY1 (as indicated by the MCNZ) and those attained.

摘要

目的

确定新西兰研究生一年级(PGY1)培训的当前技能清单是否合适,以及能否准确反映该年度所获得的经验。

方法

对奥克兰地区卫生局的PGY1医生在其研究生一年级开始时和结束时关于86项技能的经验进行了调查;其中28项技能来自新西兰医学委员会(MCNZ)的PGY1“技能指示清单”。

结果

首次调查的回复率为79%,随访的回复率为66%。到PGY1学年结束时,所有医生都已完成了MCNZ列出技能的21%,而年初这一比例为4%。在PGY1培训结束时,MCNZ定义为PGY1期间要重点掌握的技能中,不到一半的样本医生完成了39%。

结论

PGY1结束时毕业生应具备的技能(如MCNZ所指出的)与实际获得的技能之间存在显著差异。

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