Kosir Mary Ann, Fuller Lisa, Tyburski James, Berant Lisa, Yu Minghuan
Surgical Service, John D. Dingell Veterans Affairs Medical Center, Detroit, MI, USA.
Am J Surg. 2008 Nov;196(5):657-62. doi: 10.1016/j.amjsurg.2008.07.004. Epub 2008 Sep 11.
Surgical training integrates the 4 steps of the Kolb learning cycle. Residents who scored at 30th percentile or less on the American Board of Surgery In-Training Exam (ABSITE) were enrolled in the Accelerated Clinical Education in Surgery (ACES) course that incorporated the Kolb cycle.
For concrete experience, Surgical Education and Self-Assessment Program (SESAP-13) was completed according to the syllabus. For reflective consideration, further reading was done on SESAP 13 topics and corresponding ABSITE Keywords. For the abstract hypotheses step; these keywords and topics were reviewed with the mentor. Active testing involved a required weekly on-line quiz based on the syllabus.
Correct scores on the ABSITE increased for 78.6% of residents in the ACES course, with 28.6% scoring 30th percentile or greater. Senior percent correct scores increased by 7.3% and junior percentile scores by 12.5%.
Remediation using the Kolb cycle improved ABSITE performance for a majority of participants.
外科培训整合了科尔布学习循环的四个步骤。在美国外科委员会住院医师培训考试(ABSITE)中得分处于第30百分位或更低的住院医师参加了纳入科尔布循环的外科加速临床教育(ACES)课程。
对于具体体验,按照教学大纲完成了外科教育与自我评估计划(SESAP - 13)。对于反思性思考,对SESAP 13主题和相应的ABSITE关键词进行了进一步阅读。对于抽象假设步骤,与导师一起回顾了这些关键词和主题。主动测试包括每周一次基于教学大纲的在线必答题。
ACES课程中78.6%的住院医师在ABSITE上的正确得分有所提高,其中28.6%的人得分处于第30百分位或更高。高年级的正确得分百分比提高了7.3%,低年级的百分比提高了12.5%。
使用科尔布循环进行补习提高了大多数参与者在ABSITE上的表现。