Department of Neurological Surgery, Oregon Health & Science University, Portland, Oregon, USA.
J Neurosurg. 2013 Sep;119(3):796-802. doi: 10.3171/2013.3.JNS122114. Epub 2013 Apr 16.
In July 2010, the Society of Neurological Surgeons (SNS) introduced regional courses to promote patient safety and teach fundamental skills and knowledge to all postgraduate Year 1 (PGY1) trainees entering Accreditation Council for Graduate Medical Education (ACGME)-accredited US neurosurgery residency programs. Data from these courses demonstrated significant didactic learning and high faculty and resident satisfaction with hands-on training. Here, the authors evaluated the durability of learning from and the relevance of participation in SNS PGY1 courses as measured midway through PGY1 training.
Resident participants were resurveyed 6 months after boot camp course attendance to assess knowledge retention and course effectiveness. Exposure to relevant hands-on experiences during PGY1 training and the subjective value of pre-residency simulated training in the courses were assessed.
Ninety-four percent of all residents entering US PGY1 neurosurgical training participated in the 2010 SNS boot camp courses. One hundred sixty-four (88%) of these resident participants responded to the survey. Six months after course completion, 99% of respondents believed the boot camp courses benefited beginning neurosurgery residents and imparted skills and knowledge that would improve patient care. The PGY1 residents' knowledge of information taught in the courses was retained 6 months after initial testing (p < 0.0001).
The learning and other benefits of participation in a national curriculum for residents entering PGY1 neurosurgical training were maintained 6 months after the courses, halfway through the initial training year.
2010 年 7 月,神经外科学会(SNS)推出区域课程,以促进患者安全,并向所有进入研究生第 1 年(PGY1)的培训医师传授基本技能和知识,这些培训医师进入的是研究生医学教育认证委员会(ACGME)认可的美国神经外科住院医师培训计划。这些课程的数据表明,在动手培训方面,教学效果显著,教师和住院医师的满意度很高。在这里,作者评估了从 SNS PGY1 课程中学习的持久性以及参与课程的相关性,这些评估是在 PGY1 培训中途进行的。
在参加训练营课程 6 个月后,对住院医师进行重新调查,以评估知识保留情况和课程效果。评估 PGY1 培训期间接触相关实践经验的情况以及预住院模拟培训课程的主观价值。
参加美国 PGY1 神经外科培训的所有住院医师中有 94%参加了 2010 年 SNS 训练营课程。其中 164 名(88%)住院医师参加了调查。在课程结束 6 个月后,99%的受访者认为训练营课程使开始神经外科培训的住院医师受益,并传授了提高患者护理水平的技能和知识。在初始测试后 6 个月,受访者对课程中教授的信息的知识保留率为 99%(p < 0.0001)。
在 PGY1 神经外科培训住院医师参加国家课程后的 6 个月,即初始培训年的一半,学习和其他收益得以维持。