外科住院医师的补救措施。
Remediation practices for surgery residents.
作者信息
Torbeck Laura, Canal David F
机构信息
Department of Surgery, Indiana University, Indianapolis IN 46202, USA.
出版信息
Am J Surg. 2009 Mar;197(3):397-402. doi: 10.1016/j.amjsurg.2008.10.008.
BACKGROUND
This study sought to determine to what extent surgery programs are remediating residents who fail to achieve competency and to offer remediation strategies.
METHODS
A web-based survey was e-mailed to 253 program directors of all US surgery residency programs. Questions were asked about remediation and probation practices for residents failing to meet the competencies.
RESULTS
Programs seem to struggle the least with knowing how to remediate medical knowledge and patient care deficits and struggle more with professionalism and interpersonal communication skills. Most programs have no remediation methods in place for systems-based practice and practice-based learning and improvement deficits.
CONCLUSIONS
Surgery residency programs are cognizant of the reality that some residents perform unsatisfactorily. Most have remediation plans for residents and understand that a process needs to be in place. Remediation methods tend to vary depending on the deficit and are devised tailored to the resident's needs.
背景
本研究旨在确定外科手术培训项目在多大程度上对未达到能力要求的住院医师进行补救，并提供补救策略。
方法
通过电子邮件向美国所有外科住院医师培训项目的253名项目主任发送了一项基于网络的调查。询问了有关对未达到能力要求的住院医师的补救和试用期做法的问题。
结果
各项目在了解如何补救医学知识和患者护理方面的不足时似乎遇到的困难最小，而在职业素养和人际沟通技巧方面遇到的困难更大。大多数项目没有针对基于系统的实践以及基于实践的学习与改进方面的不足制定补救方法。
结论
外科住院医师培训项目意识到有些住院医师表现不尽人意这一现实。大多数项目都有针对住院医师的补救计划，并明白需要有一个流程。补救方法往往因不足的方面而异，并根据住院医师的需求量身定制。
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