Division of Cardiothoracic Surgery, Michael E DeBakey Department of Surgery, Baylor College of Medicine and The Michael E DeBakey Veterans Affairs Medical Center, Houston, Tex 77030, USA.
J Thorac Cardiovasc Surg. 2011 May;141(5):1107-13. doi: 10.1016/j.jtcvs.2011.01.043. Epub 2011 Mar 11.
With cardiothoracic education going through a critical phase of reevaluation and adaptation, we investigated perceptions of Veterans Affairs hospitals in cardiothoracic training.
A content-validated survey was distributed electronically to 676 cardiothoracic surgery residents, recent cardiothoracic graduates (on or after June 2006), cardiothoracic surgery chairpersons, program directors, associate program directors, and section heads. The Cardiothoracic Surgery Network was used to identify target recipients and their e-mail addresses.
Forty-three percent of the target recipients (292/676) completed the survey. Of those who were residents, 59% (65/111) rotated at a Veterans Affairs hospital during their cardiothoracic training; this rotation accounted for 25% or more of the total training period for 19% of them (21/111). A Veterans Affairs appointment was held by 42% of program directors/chairpersons (20/48) and 24% of graduates, associate program directors, and section heads (31/129). An affiliation with a Veterans Affairs hospital was rated as somewhat to very beneficial by 93% of the responders (273/292), and the cardiothoracic training received at Veterans Affairs facilities was rated as good to excellent by 73% of the responders (213/292). Sixty-nine percent of respondents (201/292) reported the operating room environment at Veterans Affairs hospitals to be at least as conducive to learning as that at the affiliate teaching hospital, and 76% (223/292) indicated that residents get more autonomy and hands-on experience at Veterans Affairs institutions. In addition, 64% of responders (188/292) reported that they would seek or recommend a Veterans Affairs job. Responses were positive toward the Veterans Affairs system regardless of whether the responder had any Veterans Affairs affiliation (ie, appointment as staff or rotation as resident); however, a Veterans Affairs affiliation was associated with a higher rate of positive responses regarding Veterans Affairs hospitals.
These findings suggest that Veterans Affairs hospitals are perceived as providing valuable experience in cardiothoracic training. The results warrant additional studies to further define the educational role of Veterans Affairs hospitals and help shape existing and future collaboration between cardiothoracic residency programs and the Veterans Affairs.
随着心胸医学教育经历着关键的重新评估和适应阶段，我们调查了心胸培训中退伍军人事务医院的认知。
一项内容有效的调查以电子方式分发给 676 名心胸外科住院医师、最近的心胸外科毕业生（2006 年 6 月及以后毕业）、心胸外科主席、项目主任、副主任和科室主任。心胸外科网络用于确定目标收件人和他们的电子邮件地址。
43%的目标收件人（292/676）完成了调查。在住院医师中，59%（65/111）在心胸培训期间曾在退伍军人事务医院轮转；对其中 19%（21/111）的人来说，这种轮转占总培训期的 25%或更多。42%的项目主任/主席（20/48）和 24%的毕业生、副主任和科室主任（31/129）在退伍军人事务医院任职。93%的应答者（273/292）认为与退伍军人事务医院的合作关系是有益的，73%的应答者（213/292）认为在退伍军人事务医院接受的心胸外科培训是良好到优秀的。69%的应答者（201/292）报告退伍军人事务医院的手术室环境至少与附属医院的学习环境一样有利，76%（223/292）表示住院医师在退伍军人事务机构中获得更多的自主权和实践经验。此外，64%的应答者（188/292）报告他们会寻求或推荐退伍军人事务工作。无论应答者是否有任何退伍军人事务关系（即作为工作人员任命或作为住院医师轮转），他们对退伍军人事务系统的反应都是积极的；然而，退伍军人事务关系与对退伍军人事务医院的积极反应率较高有关。
这些发现表明，退伍军人事务医院被认为在心胸外科培训中提供了有价值的经验。结果值得进一步研究，以进一步确定退伍军人事务医院的教育作用，并帮助塑造现有的和未来的心胸外科住院医师项目和退伍军人事务之间的合作。
