Department of Surgery, Harvard Medical School, Mount Auburn Hospital, 330 Mount Auburn Street, Cambridge, MA 02138, USA.
Surg Clin North Am. 2012 Feb;92(1):117-23. doi: 10.1016/j.suc.2011.12.004.
Despite a quarter century of discourse since a sentinel event in New York City raised the question of appropriate oversight for graduate medical education, many questions remain unanswered. Even with the Accreditation Council for Graduate Medical Education rules in place, some opportunity remains to examine handoff methodology, the relationship of duty hours to education, and the impact of fatigue on resident performance. Neurophysiologic adjuncts applied concomitantly to evaluation of didactic performance offer promise for data-driven definition of the optimal shift. Concurrently, the merits of specialty-specific oversight of graduate medical education remain under active consideration.
尽管自纽约市的一个重大事件引发了关于研究生医学教育适当监管的问题以来，已经过去了四分之一世纪，但仍有许多问题尚未得到解答。即使有了研究生医学教育认证委员会的规则，仍然有机会检查交接方法、工作时间与教育的关系，以及疲劳对住院医师表现的影响。神经生理辅助手段同时应用于教学表现的评估，为数据驱动定义最佳轮班提供了希望。与此同时，对研究生医学教育进行专业监督的优点仍在积极考虑之中。
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