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胃肠与内镜手术实践差距的持续演变:美国胃肠与内镜外科医师协会(SAGES)继续教育委员会2014年报告

Ongoing evolution of practice gaps in gastrointestinal and endoscopic surgery: 2014 report from the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) Continuing Education Committee.

作者信息

McLemore Elisabeth C, Paige John T, Bergman Simon, Hori Yumi, Schwarz Erin, Farrell Timothy M

机构信息

Department of Surgery, Kaiser Permanente Los Angeles Medical Center, 4760 Sunset Blvd, 3rd Floor, Los Angeles, CA, 90027, USA.

Department of Surgery, LSU Health New Orleans School of Medicine, 1542 Tulane Ave, Rm 734, New Orleans, LA, 70112, USA.

出版信息

Surg Endosc. 2015 Nov;29(11):3017-29. doi: 10.1007/s00464-015-4525-y. Epub 2015 Sep 3.

DOI:10.1007/s00464-015-4525-y
PMID:26335080
Abstract

BACKGROUND

In an effort to fulfill the charge to develop and maintain a comprehensive educational program to serve the members of the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES), the SAGES Continuing Education Committee reports a summary of findings related to the evaluation of the 2014 SAGES annual meeting.

METHODS

All attendees to the 2014 annual meeting had the opportunity to complete an immediate post-meeting questionnaire as part of their continuing medical education (CME) certification, and identify up to two learning themes, answer questions related to potential practice change items based on these learning themes, and complete a needs assessment for relevant learning topics for future meetings. In addition, participants in the postgraduate and hands-on courses were asked to complete questions about case volume and comfort level related to procedures/topics in those courses. All respondents to this initial survey were sent a 3-month follow-up questionnaire in which they were asked how successful they had been in the implementation of the targeted practice changes and what, if any, barriers were encountered. Descriptive statistical analysis of de-identified data was undertaken. SAGES University attendees respond to a post-test and post-activity evaluation.

RESULTS

Response rates were 43 and 31 % for CME-eligible attendees/respondents for the immediate post-meeting and 3-month follow-up questionnaires, respectively. Top learning themes for respondents were foregut, hernia, bariatric, and colorectal. Improving minimally invasive surgical (MIS) technique and managing complications related to MIS procedures were top intended practice changes. Partial implementation was common with top barriers including lack of resources and lack of time. Desired topics for future meetings included management of complications, enhanced recovery after surgery, introduction of new procedures into clinical practice, and re-operative surgery.

CONCLUSIONS

The SAGES 2014 annual meeting analysis provides insight into the educational needs among respondents, which is meaningful information for planning future meeting educational content.

摘要

背景

为努力履行制定并维持一项全面教育计划以服务美国胃肠与内镜外科医师协会(SAGES)会员的职责,SAGES继续教育委员会报告了与2014年SAGES年会评估相关的调查结果总结。

方法

2014年年会的所有参会者都有机会作为继续医学教育(CME)认证的一部分完成一份会后即时调查问卷,确定最多两个学习主题,回答基于这些学习主题的与潜在实践改变项目相关的问题,并完成对未来会议相关学习主题的需求评估。此外,研究生课程和实践课程的参与者被要求回答有关这些课程中手术量以及与手术/主题相关的舒适度的问题。对这项初始调查的所有受访者发送了一份3个月的随访调查问卷,询问他们在实施目标实践改变方面的成功程度以及遇到了哪些(如果有的话)障碍。对去识别化数据进行了描述性统计分析。SAGES大学的参会者要进行课后测试和活动后评估。

结果

符合CME要求的参会者/受访者对会后即时调查问卷和3个月随访调查问卷的回复率分别为43%和31%。受访者的首要学习主题是前肠、疝、减重和结直肠。改善微创手术(MIS)技术以及处理与MIS手术相关的并发症是首要的预期实践改变。部分实施很常见,主要障碍包括资源缺乏和时间不足。未来会议期望的主题包括并发症管理、术后加速康复、将新手术引入临床实践以及再次手术。

结论

SAGES 2014年年会分析为了解受访者的教育需求提供了见解,这对于规划未来会议的教育内容是有意义的信息。

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