Larson C Philip, Steadman Randolph H
Department of Anesthesiology, David Geffen School of Medicine at UCLA, P.O. Box 951778, Los Angeles, California 90095-1778, USA.
Anesth Analg. 2006 Jul;103(1):126-30, table of contents. doi: 10.1213/01.ane.0000220903.33100.15.
We describe a program for community anesthesiologists designed to evaluate clinical skills and provide additional training in the latest technologies in anesthesiology. This educational program was established for previously trained anesthesiologists who require additional training for either remedial purposes or because of a prolonged absence from practice. All enrollees had an active, unrestricted California medical license and malpractice insurance. Approximately half of the participants had been in active practice at the time of enrollment; the remainder had been away from practice from 1 to 9 yr. The first 24 graduates of the fellowship spent an average of 9 wk (range, 3-24 wk) in the program to meet their individualized goals. Graduates were surveyed an average of 15 mo after completion of the fellowship. All respondents indicated that they would enroll in the program again; 80% indicated they learned new technical skills, 73% stated that the fellowship introduced them to a greater variety of drugs, and 50% indicated that the fellowship changed their approach to patient care. This program may serve as a model for any discipline of medicine and is particularly relevant for those with a substantial component of technical skills expected of its practitioners.
我们描述了一个针对社区麻醉医生的项目，该项目旨在评估临床技能，并提供麻醉学最新技术方面的额外培训。这个教育项目是为那些之前接受过培训，但因补救目的或长期脱离临床实践而需要额外培训的麻醉医生设立的。所有学员都拥有有效的、无限制的加利福尼亚州行医执照和医疗事故保险。大约一半的参与者在入学时仍在积极从事临床工作；其余的人已经脱离临床实践1至9年。该 fellowship 项目的前24名毕业生在该项目中平均花费了9周时间（3 - 24周不等）以实现他们的个性化目标。在 fellowship 项目结束后，平均对毕业生进行了15个月的调查。所有受访者都表示他们会再次参加该项目；80%的人表示他们学到了新的技术技能，73%的人表示该 fellowship 项目让他们接触到了更多种类的药物，50%的人表示该 fellowship 项目改变了他们对患者护理的方法。这个项目可以作为任何医学学科的典范，尤其适用于那些对从业者技术技能要求较高的学科。
