Hiraoka Mark, Kamikawa Ginny, McCartin Richard, Kaneshiro Bliss
Department of Obstetrics, Gynecology and Women's Health, John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI.
Hawaii J Med Public Health. 2013 Nov;72(11):387-90.
A prospective, observational study was performed to evaluate a pilot orientation curriculum which involved all 7 incoming obstetrics and gynecology residents in June 2012. The objective of this study was to assess how a structured orientation curriculum, which employs an evaluation of baseline competency, affects the confidence of incoming first-year obstetrics and gynecology residents. The curriculum included didactic lectures, online modules, simulation, and mock clinical scenarios. Pre- and post-course surveys were conducted online via SurveyMonkey™ and were sent to all incoming obstetrics and gynecology residents. All seven incoming obstetrics and gynecology residents completed the orientation curriculum which included evaluations at the end of the orientation to assess baseline competency prior to taking part in clinical care. Confidence levels improved in all 27 elements assessed. Statistically significant improvement in confidence levels occurred in cognitive skills such as obstetric emergency management (2.9 vs 3.9, P< .05) and technical skills such as knot tying (3.9 vs. 4.6, P< .05). Certain teaching skills also demonstrated statistically significant improvements. A structured orientation program which improves resident self-confidence levels and demonstrates baseline competencies in certain clinical areas can be valuable for many residency training programs.
2012年6月，我们开展了一项前瞻性观察性研究，以评估一项针对所有7名新入职妇产科住院医师的试点培训课程。本研究的目的是评估一项采用基线能力评估的结构化培训课程如何影响新入职的第一年妇产科住院医师的信心。该课程包括理论讲座、在线模块、模拟和模拟临床场景。课前和课后调查通过SurveyMonkey™在线进行，并发送给所有新入职的妇产科住院医师。所有7名新入职的妇产科住院医师都完成了培训课程，其中包括在培训结束时进行评估，以在参与临床护理之前评估基线能力。在评估的所有27项内容中，信心水平均有所提高。在诸如产科急诊管理等认知技能（2.9对3.9，P<0.05）和诸如打结等技术技能（3.9对4.6，P<0.05）方面，信心水平有统计学意义的提高。某些教学技能也显示出统计学意义的提高。一个能提高住院医师自信心水平并在某些临床领域展示基线能力的结构化培训项目，对许多住院医师培训项目可能是有价值的。
