Atrey Amit, Hunter James, Gibb Paul A, Gupte Chinmay
Orthopaedics, Kent Sussex Hospital, Tunbridge Wells, Kent, UK.
Clin Teach. 2010 Mar;7(1):41-6. doi: 10.1111/j.1743-498X.2009.00334.x.
modernising medical careers has been fully implemented nationally in the UK.(1) The foundation-year programme is the keystone of this plan, and as a consequence a large number of foundation trainees are exposed to specialties (e.g. orthopaedics) previously reserved for aspirant surgeons.(2) When coupled with the undergraduate curriculum changes instigated by the UK registry and accrediting body for medicine, the General Medical Council (GMC),(3,4) it appears self-evident that the type of training now being provided to these juniors is very different from that formerly available. We aimed to assess whether foundation-year doctors are being trained adequately.
junior doctors were set an original test at the start of their orthopaedic training to assess their knowledge (this was based on orthopaedic consultants' expectations). After a succinct 2-week training programme aimed at meeting those expectations, the juniors were then retested using a different test to close the audit loop and assess if improvements had been made.
we show that set against the basic expectations of orthopaedic consultants, generic foundation-doctor education is inadequate. However, after a focussed teaching programme instigated at the beginning of the job, standards improved significantly. Our results also show that junior doctors' confidence and enjoyment of the speciality also increased.
英国已在全国全面实施医学职业现代化改革。（1）基础年培训计划是该计划的基石，因此大量基础培训医生接触到了以前只有有志成为外科医生的人才能涉足的专科（如骨科）。（2）再加上英国医学注册和认证机构——英国医学总会（GMC）推动的本科课程改革，（3,4）显而易见，现在为这些低年级医生提供的培训类型与以前大不相同。我们旨在评估基础年医生是否得到了充分培训。
低年级医生在开始骨科培训时接受了一次原创测试，以评估他们的知识水平（该测试基于骨科顾问的期望）。在进行了为期两周旨在达到这些期望的简洁培训计划后，这些低年级医生随后使用不同的测试进行重新测试，以完成审核循环并评估是否有进步。
我们发现，与骨科顾问的基本期望相比，普通基础医生教育并不充分。然而，在工作开始时启动了针对性的教学计划后，标准有了显著提高。我们的结果还表明，低年级医生对该专科的信心和兴趣也有所增加。
