Department of Surgery, Medical College of Wisconsin, 9200 W. Wisconsin, Milwaukee, WI 53226, USA.
Am J Surg. 2010 Jan;199(1):126-30. doi: 10.1016/j.amjsurg.2009.09.004.
In 2005, a new curricular model was implemented for general surgery residents and a Division of Education created for administrative support. These changes forced an evaluation of available resources to maintain a new curricular model.
A retrospective review of resources expended during curricular sessions (June 2007-June 2008) provided to 42 surgical residents was conducted. Resources were evaluated in terms of the number, division, department, and rank of faculty involved. Contact hours and monetary costs were calculated.
Total numbers of faculty involved in the postgraduate year (PGY)1, PGY2, and PGY3-5 curriculums were 79, 39, and 22, respectively. Faculty teaching time was 321 hours (PGY1), 187 hours (PGY2) and 36 hours (PGY3-5) for a combined 544 hours. Average teaching time commitment for faculty in the Division of Education was 26.5 hours, compared with 6.7 hours for departmental faculty in other divisions (P = .0002). Total monetary cost was $219,254.
The cost to maintain an educational general surgery curriculum is substantial and administrative support must be considered. Faculty with an explicit teaching commitment and responsibility are needed.
2005 年,为普通外科住院医师实施了新的课程模式,并成立了教育司以提供行政支持。这些变化迫使我们评估现有的资源,以维持新的课程模式。
对 42 名外科住院医师在课程期间(2007 年 6 月至 2008 年 6 月)所使用的资源进行了回顾性评估。从参与的教员人数、科室、部门和职称等方面对资源进行了评估。计算了课时和货币成本。
参与 PGY1、PGY2 和 PGY3-5 课程的教员总数分别为 79、39 和 22。教员教学时间为 321 小时(PGY1)、187 小时(PGY2)和 36 小时(PGY3-5),总计 544 小时。教育司教员的平均教学时间承诺为 26.5 小时,而其他部门教员的平均教学时间承诺为 6.7 小时(P=0.0002)。总货币成本为 219254 美元。
维持教育普通外科课程的成本相当可观,必须考虑行政支持。需要有明确的教学承诺和责任的教员。