Dhanda Jagtar, Opie Niel, Webster Keith, Tanday Ajit, Mumtaz Shadaab, Visram Semina
University Hospital Birmingham, United Kingdom.
Br J Oral Maxillofac Surg. 2011 Jan;49(1):62-4. doi: 10.1016/j.bjoms.2010.02.007. Epub 2010 Mar 29.
Modernising Medical Careers (MMC) is a programme for change that aims to improve the quality of patients' care through improvement in postgraduate medical education and training. Its introduction had far reaching affects and many shortcoming due to its failure to take into account the craft specialties. The aim of this paper is to illustrate the impact of MMC on oral and maxillofacial surgical (OMFS) training. An online questionnaire was distributed to OMFS trainees, and data were gathered about current position, year of training, duration and specialties worked during basic surgical training, stage of completion of examinations and courses, and overall satisfaction with training. Comparisons were made between those who had been trained before and after MMC was introduced. Ninety-five trainees (68%) responded. Of these 66 (69%) had basic surgical training before the introduction of MMC and 29 (31%) afterwards. MMC shortened overall time spent on basic surgical training of OMFS trainees by half, to only 1 year. There were similarities between the two groups in terms of the range of specialties experienced. MMC also resulted in more trainees starting higher surgical training without their Membership of the Royal College of Surgeons. There was greater satisfaction with BST for the pre-MMC group than the post-MMC group. It is hoped that the recent changes to training that were implemented after this study will address some of the shortcomings that we have identified.
现代医学职业规划（MMC）是一项旨在通过改善研究生医学教育与培训来提高患者护理质量的变革计划。它的引入产生了深远影响，但由于未能考虑到专科技术领域，也存在许多不足之处。本文旨在阐述MMC对口腔颌面外科（OMFS）培训的影响。我们向OMFS学员发放了一份在线问卷，收集了有关他们当前职位、培训年份、基础外科培训期间工作的时长和专业、考试及课程完成阶段以及对培训总体满意度的数据。对在MMC引入之前和之后接受培训的学员进行了比较。95名学员（68%）做出了回应。其中，66名（69%）在MMC引入之前接受了基础外科培训，29名（31%）在之后接受培训。MMC将OMFS学员基础外科培训的总时长缩短了一半，仅为1年。两组在经历的专业范围方面存在相似之处。MMC还导致更多学员在未获得皇家外科学院会员资格的情况下开始接受更高层次的外科培训。MMC之前的组对基础外科培训的满意度高于MMC之后的组。希望在本研究之后实施的近期培训变革将解决我们所发现的一些不足之处。
