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结直肠外科医生对普通外科住院医师的教学:当前的挑战与机遇

Colorectal surgeons teaching general surgery residents: current challenges and opportunities.

作者信息

Schmitz Connie C, Chow Christopher J, Rothenberger David A

机构信息

Department of Surgery, University of Minnesota Medical School, Minneapolis, Minnesota.

出版信息

Clin Colon Rectal Surg. 2012 Sep;25(3):134-42. doi: 10.1055/s-0032-1322526.

DOI:10.1055/s-0032-1322526
PMID:23997668
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3577580/
Abstract

Effective teaching for general surgery residents requires that faculty members with colorectal expertise actively engage in the education process and fully understand the current context for residency training. In this article, we review important national developments with respect to graduate medical education that impact resident supervision, curriculum implementation, resident assessment, and program evaluation. We argue that establishing a culture of respect and professionalism in today's teaching environment is one of the most important legacies that surgical educators can leave for the coming generation. Faculty role modeling and the process of socializing residents is highlighted. We review the American College of Surgeons' Code of Professional Conduct, summarize some of the current strategies for teaching and assessing professionalism, and reflect on principles of motivation that apply to resident training both for the trainee and the trainer.

摘要

对外科住院医师进行有效的教学,要求具备结直肠专业知识的教员积极参与教育过程,并充分了解住院医师培训的当前背景。在本文中,我们回顾了与毕业后医学教育相关的重要国家发展情况,这些发展影响住院医师的监督、课程实施、住院医师评估和项目评价。我们认为,在当今的教学环境中建立一种尊重和专业精神的文化,是外科教育工作者可以留给下一代的最重要遗产之一。文中强调了教员的榜样作用以及使住院医师融入职业环境的过程。我们回顾了美国外科医师学会的《职业行为准则》,总结了一些当前教授和评估专业精神的策略,并思考了适用于住院医师培训中学员和培训师的激励原则。

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Colorectal surgeons teaching general surgery residents: current challenges and opportunities.结直肠外科医生对普通外科住院医师的教学:当前的挑战与机遇
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Challenges of training in adrenal surgery.肾上腺手术培训的挑战。
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本文引用的文献

1
The professionalism curriculum as a cultural change agent in surgical residency education.将专业精神课程作为外科住院医师教育中的文化变革代理人。
Am J Surg. 2012 Jan;203(1):14-20. doi: 10.1016/j.amjsurg.2011.05.007. Epub 2011 Oct 8.
2
Boot camp: a method of introducing the competency of professionalism to surgical residents.新兵训练营:一种向外科住院医师传授职业素养能力的方法。
Am Surg. 2011 Jul;77(7):960-1.
3
Assessment of communication, professionalism, and surgical skills in an objective structured performance-related examination (OSPRE): a psychometric study.客观结构化绩效相关考试(OSPRE)中沟通、专业精神和手术技能的评估:一项心理测量学研究。
Am J Surg. 2011 Oct;202(4):433-40. doi: 10.1016/j.amjsurg.2010.07.045. Epub 2011 Aug 20.
4
Empathy decline and its reasons: a systematic review of studies with medical students and residents.同理心衰退及其原因:对医学生和住院医师进行的研究的系统评价。
Acad Med. 2011 Aug;86(8):996-1009. doi: 10.1097/ACM.0b013e318221e615.
5
Resident education in 2011: three key challenges on the road ahead.2011 年住院医师教育:未来道路上的三大挑战。
Surgery. 2011 Apr;149(4):465-73. doi: 10.1016/j.surg.2010.11.007. Epub 2011 Feb 5.
6
A multi-institutional study of the Family Conference Objective Structured Clinical Exam: a reliable assessment of professional communication.多机构家庭会议客观结构化临床考试研究:专业沟通的可靠评估。
Am J Surg. 2011 Apr;201(4):492-7. doi: 10.1016/j.amjsurg.2010.02.006. Epub 2010 Sep 20.
7
Early tracking would improve the operative experience of general surgery residents.早期追踪可以提高普通外科住院医师的手术经验。
Ann Surg. 2010 Sep;252(3):445-9; discussion 449-51. doi: 10.1097/SLA.0b013e3181f0d105.
8
Human Emotion and Response in Surgery (HEARS): a simulation-based curriculum for communication skills, systems-based practice, and professionalism in surgical residency training.手术中的人类情感和反应(HEARS):基于模拟的沟通技巧、以系统为基础的实践以及外科住院医师培训中的专业精神课程。
J Am Coll Surg. 2010 Aug;211(2):285-92. doi: 10.1016/j.jamcollsurg.2010.04.004.
9
Can professionalism be taught? Encouraging evidence.专业性可以被教授吗?有鼓励性的证据。
Am J Surg. 2010 Jan;199(1):86-93. doi: 10.1016/j.amjsurg.2009.10.002.
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Observation, reflection, and reinforcement: surgery faculty members' and residents' perceptions of how they learned professionalism.观察、反思和强化:外科教员和住院医师对他们如何学习专业精神的看法。
Acad Med. 2010 Jan;85(1):134-9. doi: 10.1097/ACM.0b013e3181c47b25.