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住院医师对自己手术技能的评估准确吗?

Are residents accurate in their assessments of their own surgical skills?

机构信息

National Surgical Training Centre, Royal College of Surgeons in Ireland, Dublin, Ireland.

出版信息

Am J Surg. 2012 Nov;204(5):724-31. doi: 10.1016/j.amjsurg.2012.03.003. Epub 2012 May 18.

DOI:10.1016/j.amjsurg.2012.03.003
PMID:22608671
Abstract

BACKGROUND

An appropriate level of awareness of one's own technical skill is essential to being an effective self-directed learner. The aim of this study was to analyze surgical residents' self-awareness by examining their ability to predict and assess their own performance in an objective surgical skills examination.

METHODS

Surgical residents' (n = 216) pre-examination self-predicted scores and post-examination self-assessed scores were compared with objectively measured scores. Accuracy of score prediction and self-assessment were compared with resident demographics (age, gender, year of training, and nationality).

RESULTS

Post-examination self-assessed scores correlated with objectively assessed scores (r = .34; P < .001). Higher year of training, older age, and non-European nationality were predictive of accuracy in self-prediction and self-assessment.

CONCLUSIONS

Demographic variables that predict more accurate self-awareness of technical skill have been identified. Surgical training programs may use these data to anticipate the trainees who need assistance in developing better self-awareness.

摘要

背景

作为一个有效的自主学习者,对自身技术技能有适当的认识是至关重要的。本研究旨在通过考察外科住院医师在客观手术技能考试中预测和评估自身表现的能力,来分析他们的自我意识。

方法

将 216 名外科住院医师的术前自我预测分数与术后自我评估分数与客观测量分数进行比较。评分预测和自我评估的准确性与住院医师的人口统计学特征(年龄、性别、培训年限和国籍)进行了比较。

结果

术后自我评估分数与客观评估分数呈正相关(r =.34;P <.001)。培训年限较高、年龄较大和非欧洲国籍是准确预测和自我评估的预测因素。

结论

已经确定了可以预测技术技能自我意识更准确的人口统计学变量。外科培训计划可以使用这些数据来预测需要帮助提高自我意识的学员。

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