Rakinic Jan
Department of Surgery, Southern Illinois University School of Medicine, Springfield, Illinois.
Clin Colon Rectal Surg. 2012 Sep;25(3):143-50. doi: 10.1055/s-0032-1322527.
Educators have struggled with teaching and evaluation of the six Accreditation Council for Graduate Medical Education (ACGME) core competencies since their introduction in 1999. In addition, many authors have questioned the construct validity of the competencies. Concern has also arisen regarding the educational effects of the competencies and the subsequent limitation of resident duty hours, the combination of which have forced unprecedented changes in American graduate medical education. This article attempts to present an understanding of how these events have had direct and indirect effects on the education of residents in colon and rectal surgery, and to provide a framework for educators in colon and rectal surgery to adapt in their curricula.
自1999年研究生医学教育认证委员会(ACGME)的六项核心能力被引入以来,教育工作者在对其进行教学和评估方面一直面临困难。此外,许多作者对这些能力的结构效度提出了质疑。人们还对这些能力的教育效果以及随后住院医师工作时间的限制表示担忧,这两者共同迫使美国研究生医学教育发生了前所未有的变化。本文试图阐述这些事件如何对结直肠外科住院医师的教育产生直接和间接影响,并为结直肠外科教育工作者在其课程中进行调整提供一个框架。