Department of Urologic Surgery, Vanderbilt University, Nashville, Tennessee 37232, USA.
J Surg Educ. 2011 Sep-Oct;68(5):341-6. doi: 10.1016/j.jsurg.2011.05.001. Epub 2011 Jul 2.
Resident work-hour restrictions and a reduction in general surgery training have impacted urologic training. We sought to assess the educational needs of urology residents after preurology training in general surgery to compare self-reported outcomes to those of supervising faculty and to determine which aspects of preurology training have an impact on those needs.
A survey was distributed electronically to urology residents and faculty of Accreditation Council for Graduate Medical Education (ACGME) residency programs. Residents evaluated 11 surgical skills with regard to their importance to subsequent urology training and their self-assessed proficiency with those skills. Faculty members evaluated the same skills with regard to their importance and their residents' proficiency with those skills. All individuals evaluated 11 general surgery rotations with regard to their importance to later urology training. The responses were analyzed using the paired Wilcoxon test, and faculty responses were compared with resident responses using the Fisher exact test and the χ(2)-test.
Urologic surgery residency programs in the United States.
There were 305 resident responses and 58 faculty responses.
For each surgical skill, residents perceived skills as being more important than their self-assessed proficiency with those skills (p < 0.001). Resident and faculty assessments of surgical skills and of general surgery rotations were similar. More time spent in general surgery training was associated with increased self-assessed proficiency. No difference was found between resident and faculty assessment of global surgical skills (p = 0.76) or general surgery rotation importance (p = 0.87).
A discrepancy was determined between urology residents' perceptions of the importance of surgical skills and their proficiency with those skills. The duration of general surgery training might have an impact on self-assessed skills proficiency. Concordance was demonstrated between resident and faculty perceptions of residents' surgical skills and of general surgery rotations.
住院医师工作时间限制和普通外科培训减少对泌尿科培训产生了影响。我们试图评估普通外科预泌尿科培训后泌尿科住院医师的教育需求，将自我报告的结果与监督教员进行比较，并确定预泌尿科培训的哪些方面对这些需求有影响。
向美国研究生医学教育认证委员会（ACGME）住院医师计划的泌尿科住院医师和教员分发了一份电子调查。住院医师根据对后续泌尿科培训的重要性以及对这些技能的自我评估熟练程度来评估 11 项手术技能。教员根据对技能的重要性以及对这些技能的熟练程度来评估相同的技能。所有个人根据对以后泌尿科培训的重要性评估了 11 个普通外科轮转。使用配对 Wilcoxon 检验分析了这些响应，使用 Fisher 精确检验和 χ(2)-检验将教员响应与居民响应进行比较。
美国泌尿科手术住院医师计划。
有 305 名居民和 58 名教员作出回应。
对于每项手术技能，住院医师认为技能比他们对这些技能的自我评估熟练程度更重要（p<0.001）。住院医师和教员对手术技能和普通外科轮转的评估相似。普通外科培训时间的增加与自我评估的熟练程度增加相关。在全球外科技能评估（p=0.76）或普通外科轮转重要性评估（p=0.87）方面，住院医师和教员之间没有差异。
确定了泌尿科住院医师对手术技能重要性的看法与他们对这些技能的熟练程度之间存在差异。普通外科培训的持续时间可能会对自我评估的技能熟练程度产生影响。住院医师和教员对住院医师的手术技能和普通外科轮转的看法具有一致性。
