Choi Richard K, Tabby David S, Rosso Andrea L, Mueller Paul S, Schwartzman Robert J
Drexel University College of Medicine, Department of Neurology, Philadelphia, PA, USA.
Neurologist. 2010 Sep;16(5):308-12. doi: 10.1097/NRL.0b013e3181c29f38.
We sought to compare the current status of Neurologic Grand Rounds (NGRs) in training programs with the status observed in Medical Grand Rounds.
A survey was sent to 124 departments of neurology in the United States that are accredited by the American Council of Graduate Medical Education via an online Web tool. We collected data regarding the attendance, objectives, format, educational structure, and perceived changes and trends over time.
Seventy-five (60%) surveys were returned: 10% were completed by the department chairperson, 4% by the chief resident, and 54% by another faculty member. NGRs were offered by 99% of the programs surveyed, and 95% of the programs conduct NGRs accredited for Continuing Medical Education. Almost all of the respondents agreed that the education of faculty, house staff, and full-time faculty was very important. Ninety-three percent of the programs hold clinical case presentations, and 60% have patients in attendance for the presentation. Programs reported that the quality, importance, and educational value of NGRs had either not changed or had increased over time (94%, 91%, and 89%, respectively).
NGRs continue to be an important component of neurology residency training programs. The results of our survey were comparable to those obtained by others studying Medical Grand Rounds. Objectives, components, attendance, format, changes, and trends were also similar.
我们试图比较神经病学进修项目中神经病学大查房(NGRs)的现状与医学大查房中的情况。
通过在线网络工具向美国124个经研究生医学教育认证委员会认证的神经病学系发送了一份调查问卷。我们收集了有关出席情况、目标、形式、教育结构以及随时间推移感知到的变化和趋势的数据。
共收回75份(60%)调查问卷:10%由系主任完成,4%由住院总医师完成,54%由其他教员完成。99%的被调查项目提供神经病学大查房,95%的项目开展经继续医学教育认证的神经病学大查房。几乎所有受访者都认为对教员、住院医师和全职教员的教育非常重要。93%的项目进行临床病例汇报,60%的项目汇报时有患者在场。各项目报告称,神经病学大查房的质量、重要性和教育价值要么没有变化,要么随时间有所提高(分别为94%、91%和89%)。
神经病学大查房仍然是神经病学住院医师培训项目的重要组成部分。我们的调查结果与其他研究医学大查房的结果相当。目标、组成部分、出席情况、形式、变化和趋势也相似。