Department of Neurology, University of Rochester Medical Center, Rochester, NY, USA.
Neurology. 2012 Oct 23;79(17):1831-4. doi: 10.1212/WNL.0b013e3182703fa3.
To assess the strengths and weaknesses of neurology resident education using survey methodology.
A 27-question survey was sent to all neurology residents completing residency training in the United States in 2011.
Of eligible respondents, 49.8% of residents returned the survey. Most residents believed previously instituted duty hour restrictions had a positive impact on resident quality of life without impacting patient care. Most residents rated their faculty and clinical didactics favorably. However, many residents reported suboptimal preparation in basic neuroscience and practice management issues. Most residents (71%) noted that the Residency In-service Training Examination (RITE) assisted in self-study. A minority of residents (14%) reported that the RITE scores were used for reasons other than self-study. The vast majority (86%) of residents will enter fellowship training following residency and were satisfied with the fellowship offers they received.
Graduating residents had largely favorable neurology training experiences. Several common deficiencies include education in basic neuroscience and clinical practice management. Importantly, prior changes to duty hours did not negatively affect the resident perception of neurology residency training.
使用调查方法评估神经科住院医师教育的优缺点。
向 2011 年完成美国住院医师培训的所有神经科住院医师发送了一份 27 个问题的调查问卷。
在符合条件的受访者中,49.8%的住院医师回复了调查。大多数住院医师认为先前实施的轮班时间限制对住院医师的生活质量产生了积极影响,而不会影响患者护理。大多数住院医师对其教员和临床教学评价较好。然而,许多住院医师报告在基础神经科学和实践管理问题方面准备不足。大多数住院医师(71%)指出住院医师在职培训考试(RITE)有助于自学。少数住院医师(14%)报告说,RITE 分数除了用于自学之外,还有其他用途。绝大多数(86%)的住院医师将在住院医师培训后进入专科培训,并对他们收到的专科培训邀请感到满意。
即将毕业的住院医师对神经科住院医师培训有很大的好感。一些常见的缺陷包括基础神经科学和临床实践管理方面的教育。重要的是,轮班时间的先前变化并未对住院医师对神经科住院医师培训的看法产生负面影响。