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胃肠病学专业实习生对临床胃肠病学及内镜教学的看法。

Trainees in gastroenterology views on teaching in clinical gastroenterology and endoscopy.

作者信息

Wells Christopher William, Inglis Sarah, Barton Roger

机构信息

North Tyneside Hospital, North Shields, UK.

出版信息

Med Teach. 2009 Feb;31(2):138-44. doi: 10.1080/01421590802144252.

Abstract

BACKGROUND

Concerns exist amongst gastroenterology trainees regarding the quality of teaching, training and supervision. Gastroenterology Specialist Registrars were surveyed to obtain a wider perspective from the trainee body.

AIMS

To gather data on the extent and quality of teaching, training and supervision in outpatient clinics, on ward rounds and in endoscopy.

METHODS

A semi-structured questionnaire sent to all trainees in training posts in England and Wales.

RESULTS

The respondents were evenly spread throughout the years of the training programme. Out of 169 trainees, 68 were never, rarely or not often taught on ward rounds, 92/168 trainees never, rarely or not often discussed new outpatients and only 13/170 trainees discussed review patients frequently or all the time. The quality of teaching was rated as "Quite good-Excellent" by 91/170 and "so-so-very poor" by 79/170. Endoscopic training and supervision were inconsistent, with 76/170 being taught "frequently-all of the time," 39 taught "about half the time," and 53 "not often-never" for procedures in which they were still under training.

CONCLUSIONS

Teaching and training in gastroenterology are variable both in quality and quantity. Of particular concern, supervision for endoscopy is often inadequate or absent. There are many opportunities to improve our teaching and training in gastroenterology.

摘要

背景

胃肠病学实习医生对教学、培训和监督的质量存在担忧。对胃肠病学专科住院医生进行了调查,以从实习医生群体中获得更广泛的观点。

目的

收集关于门诊、查房和内镜检查中教学、培训和监督的范围及质量的数据。

方法

向英格兰和威尔士所有培训岗位上的实习医生发放一份半结构化问卷。

结果

受访者在培训计划的各年份中分布均匀。在169名实习医生中,68人从未、很少或不常接受查房教学,92/168名实习医生从未、很少或不常讨论新门诊患者,只有13/170名实习医生经常或总是讨论复诊患者。91/170的人将教学质量评为“相当好 - 优秀”,79/170的人评为“一般 - 非常差”。内镜培训和监督不一致,对于仍在接受培训的操作,76/170的人“经常 - 一直”接受教学,39人“大约一半时间”接受教学,53人“不常 - 从未”接受教学。

结论

胃肠病学的教学和培训在质量和数量上都参差不齐。特别令人担忧的是,内镜检查的监督往往不足或缺失。有很多机会可以改进我们在胃肠病学方面的教学和培训。

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