Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Cincinnati Children's Hospital Medical Center, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH 45229, USA.
J Pediatr Gastroenterol Nutr. 2012 Feb;54(2):281-4. doi: 10.1097/MPG.0b013e31822cd2b7.
At many institutions, the teaching provided on subspecialty gastroenterology rotations is not structured. The purpose of the present study was to describe the development, implementation, and assessment of a structured gastroenterology curriculum for pediatric residents.
A needs assessment was performed via a survey of former pediatric resident graduates presently working in general pediatrics. Topics for the curriculum were developed based upon the needs assessment. Second-year residents on the inpatient gastroenterology rotation attended 4 case-based, small group sessions per week for 1 month. Sessions were taught primarily by upper-level gastroenterology fellows. The curriculum was assessed via a pre-posttest, postrotation survey, and group feedback sessions.
Resident rating of education received during the rotation was high. Posttest scores increased slightly but significantly compared with pretest values. The curriculum has continued to be used >4 years after its development.
The creation of a structured subspecialty curriculum with the use of fellows as teachers is both feasible and effective despite limitations in available time for resident teaching.
在许多机构中，亚专业胃肠病学轮转的教学没有结构。本研究的目的是描述为儿科住院医师制定的结构化胃肠病学课程的发展、实施和评估。
通过对目前从事普通儿科工作的前儿科住院医师毕业生进行调查进行需求评估。根据需求评估制定课程主题。在住院胃肠病学轮转中，第二年的住院医师每周参加 4 次基于案例的小组会议，为期 1 个月。课程主要由高级胃肠病学研究员教授。通过预测试-后测试、后旋转调查和小组反馈会议评估课程。
住院医师对轮转期间接受的教育的评价很高。后测分数略有但显著高于前测值。该课程自开发以来已连续使用了 4 年以上。
尽管住院医师教学的可用时间有限，但使用研究员作为教师创建结构化的亚专业课程既可行又有效。
