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医学影像学教学大纲:住院医师项目主任认为医学生必须掌握哪些技能?

Medical student radiology curriculum: what skills do residency program directors believe are essential for medical students to attain?

机构信息

Department of Radiology, University of Colorado School of Medicine, Mail Stop L954, 12401 East 17th Avenue, Room 537, Aurora, CO 80045, USA.

出版信息

Acad Radiol. 2013 Mar;20(3):263-71. doi: 10.1016/j.acra.2012.12.003.

Abstract

RATIONALE AND OBJECTIVES

The purpose of this study was to identify radiology topics considered essential by residency program directors who will be working with our graduates. Secondary goals were to survey their satisfaction with incoming residents' radiology knowledge, inquire if radiology training was provided in their programs, and identify differences among specialties.

MATERIALS AND METHODS

A questionnaire was mailed to all residency program directors in emergency medicine, family medicine, internal medicine, pediatrics, and general surgery programs that accepted our graduates between 2005 and 2010. Program directors were asked to rate a list of radiology knowledge and skills topics as essential or nonessential and to answer several questions regarding their residents and programs.

RESULTS

Ninety-nine surveys were completed (51.3% response rate). Seven skills were considered essential by 90% or more of all respondents. On average, program directors identified 18/28 topics as essential prior to beginning their residency. The mean number identified as essential did not differ by program (F4, 93 = 0.732, P = .572). Based on analyses of variance comparing each topic by program, the importance of six topics differed significantly. Program directors generally agreed that incoming residents had adequate radiology skills and knowledge when they started their residencies. One hundred percent of the responding emergency medicine, family medicine, and pediatrics programs and 70% to 80% of the general surgery and internal medicine programs provide radiology training.

CONCLUSION

There is high agreement among program directors regarding imaging topics they consider essential. Topics considered essential by more than 60% should comprise our core curriculum for all students while less essential topics can be included in elective or program specific curricula.

摘要

背景与目的

本研究旨在确定将与我们的毕业生合作的住院医师项目主任认为必不可少的放射学课题。次要目标是调查他们对新住院医师放射学知识的满意度,询问他们的项目是否提供放射学培训,并确定专业之间的差异。

材料与方法

向 2005 年至 2010 年间接受我们毕业生的急诊医学、家庭医学、内科、儿科和普通外科住院医师项目的所有项目主任邮寄了一份问卷。要求项目主任对一系列放射学知识和技能课题进行必要或非必要的评估,并回答有关其住院医师和项目的几个问题。

结果

完成了 99 份调查(51.3%的回复率)。7 项技能得到了所有受访者 90%或以上的认可。平均而言,项目主任在开始住院医师培训前确定了 18/28 个主题为必要的。识别为必需的主题数量不因项目而异(F4, 93=0.732, P=0.572)。根据按项目比较每个主题的方差分析,六个主题的重要性存在显著差异。项目主任普遍认为新住院医师在开始住院医师培训时具有足够的放射学技能和知识。100%的急诊医学、家庭医学和儿科项目以及 70%至 80%的普通外科和内科项目提供放射学培训。

结论

项目主任对他们认为重要的影像学课题达成了高度共识。超过 60%的认为重要的课题应构成我们所有学生的核心课程,而不太重要的课题可以包含在选修课程或项目特定课程中。

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