Ann Arbor, Mich.; Greenville, N.C.; and Houston, Texas From the Division of Plastic Surgery and Department of Anesthesia, University of Michigan Hospital; the Brody School of Medicine at East Carolina University; and the University of Texas-Houston.
Plast Reconstr Surg. 2009 Nov;124(5):1703-1710. doi: 10.1097/PRS.0b013e3181b98c49.
The Accreditation Council for Graduate Medical Education Outcomes Project mandates data-driven improvements to training programs. Few outcomes measures exist in plastic surgery. The purpose of this study was to determine how well we presently train plastic surgery residents within the context of the council's competencies and how well those competencies are practiced after residency.
Plastic surgery graduates from 2000 to 2005 were surveyed using a new questionnaire organized around the accreditation council's competencies. Scores from individual item responses were averaged to create a composite score reflecting the quality of training and practice of each competency. Composite scores were then compared using nonparametric analyses. Data regarding currently used assessment tools were also measured.
The response rate was 21 percent. The respondent sample was representative of current plastic surgeons. Overall, the competencies were considered important, with increasing awareness in more recent years. Practice-based learning and improvement appeared to be the best taught, and systems-based practice appeared to be the most poorly taught. There were differences between independent and integrated formats but they did not support one over the other. Women did not rate their training as highly as men did in some areas, and open comments suggested there were significant issues at some programs.
Recent graduates view plastic surgery training as excellent. The competency domain in greatest need of attention is systems-based practice. We must broaden our use of assessment instruments for more valid results and investigate gender differences in our training programs. These results describe the outcomes of current plastic surgery training and serve as a needs assessment for improvement and as a baseline for future comparison.
毕业后医学教育认证委员会成果项目要求以数据为导向来改进培训计划。整形外科学中几乎没有结果衡量标准。本研究的目的是确定我们目前在委员会的能力范围内培训整形住院医师的情况，以及住院医师毕业后这些能力的实践情况。
使用新的问卷对 2000 年至 2005 年的整形外科学毕业生进行调查，问卷围绕毕业后医学教育认证委员会的能力进行组织。通过对单个项目回答的得分进行平均，创建一个综合分数，反映每个能力的培训和实践质量。然后使用非参数分析比较综合得分。还测量了有关当前使用的评估工具的数据。
回复率为 21%。应答者样本代表了当前的整形外科医生。总体而言，这些能力被认为很重要，近年来的认识度不断提高。实践中学习和改进似乎是教授得最好的，而基于系统的实践似乎是教授得最差的。独立格式和综合格式之间存在差异，但它们并没有支持其中一种格式优于另一种格式。在某些方面，女性对培训的评价不如男性高，而开放性评论表明一些项目存在重大问题。
最近的毕业生认为整形外科学培训非常出色。最需要关注的能力领域是基于系统的实践。我们必须扩大评估工具的使用范围，以获得更有效的结果，并调查我们培训计划中的性别差异。这些结果描述了当前整形外科学培训的结果，作为改进的需求评估，并作为未来比较的基准。
