Joyner Byron D, Nicholson Craig, Seidel Kristy
Urology Department, University of Washington, Seattle, Washington 98105, USA.
J Urol. 2006 May;175(5):1843-6. doi: 10.1016/S0022-5347(05)00981-X.
The Accreditation Council for Graduate Medical Education requires that each residency program must demonstrate and document actual accomplishments through objective measures. At University of Washington we identified deficiencies in resident medical knowledge and designed interventions that would assist in improving resident AUA IS scores, using this as a metric to document the outcomes.
In 2001 the University of Washington syllabus and faculty precepted chapter review sessions were formally established. The national AUA IS was used as an objective standardized examination to determine an annual group percentile score.
We noted a gradual and consistent increase in the average percentile group score on the national annual AUA IS examinations of our residents. A generalized estimating equation model demonstrated a significant difference between pre-intervention and post-intervention average percentile resident AUA IS scores (p <0.001). Average resident percentile rankings in 2001 to 2004 were 25.6 points higher than the average rankings of residents tested in 1997 to 2000.
We developed and evaluated a cohesive core curriculum designed to improve resident knowledge in urology, as measured by the AUA IS metric. With the active participation of faculty the curriculum enhanced resident education.
毕业后医学教育认证委员会要求每个住院医师培训项目必须通过客观指标来展示和记录实际成果。在华盛顿大学，我们发现住院医师医学知识存在不足，并设计了干预措施，以帮助提高住院医师美国泌尿外科学会（AUA）知识水平考试（IS）成绩，将其作为记录结果的一项指标。
2001年，华盛顿大学正式制定了教学大纲并开展了教师指导的章节复习课程。使用全国性的AUA IS作为客观标准化考试，以确定年度分组百分位分数。
我们注意到，在全国年度AUA IS考试中，我们住院医师的平均分组百分位分数呈逐渐且持续的上升趋势。广义估计方程模型显示，干预前和干预后住院医师AUA IS平均百分位分数存在显著差异（p<0.001）。2001年至2004年住院医师的平均百分位排名比1997年至2000年参加考试的住院医师平均排名高25.6分。
我们开发并评估了一个连贯的核心课程，旨在提高住院医师的泌尿外科知识，以AUA IS指标衡量。在教师的积极参与下，该课程加强了住院医师教育。
