我们从哪里开始？日本外科住院医师教育的首次调查。
Where do we start? The first survey of surgical residency education in Japan.
作者信息
Kurashima Yo, Watanabe Yusuke, Ebihara Yuma, Murakami Soichi, Shichinohe Toshiaki, Hirano Satoshi
机构信息
Department of Gastroenterological Surgery II, Hokkaido University Graduate School of Medicine, Kita 15, Nishi 7, Kita-ku, Sapporo 060-8638, Japan.
Department of Gastroenterological Surgery II, Hokkaido University Graduate School of Medicine, Kita 15, Nishi 7, Kita-ku, Sapporo 060-8638, Japan.
出版信息
Am J Surg. 2016 Feb;211(2):405-10. doi: 10.1016/j.amjsurg.2015.09.004. Epub 2015 Oct 17.
BACKGROUND
Currently, Japan does not have a national standardized program for surgical residency. Therefore, surgical education information and strategies are not shared among teaching hospitals. This was the first study aiming to clarify the current situation of surgical residency in Japan.
METHODS
A questionnaire survey investigating the present situation of surgical residency was sent to the 76 teaching hospitals in Hokkaido Prefecture, Japan.
RESULTS
The response rate was 64.5%. Data from the 36 hospitals with active residency programs were analyzed. Most of the program directors (79.4%) were in charge of educational work for less than 5 hours per week. Although half of the hospitals had skills laboratories or simulation centers, only 2 used them routinely for their residency program. Half of the hospitals evaluated the residents' competency and the quality of their educational programs.
CONCLUSIONS
Structured programs and evaluation systems have not been integrated well into surgical residency in Japan.
背景
目前，日本没有全国标准化的外科住院医师培训项目。因此，教学医院之间不共享外科教育信息和策略。这是第一项旨在阐明日本外科住院医师培训现状的研究。
方法
向日本北海道地区的76家教学医院发送了一份关于外科住院医师培训现状的问卷调查。
结果
回复率为64.5%。对36家设有活跃住院医师培训项目的医院的数据进行了分析。大多数项目主任（79.4%）每周负责教育工作的时间少于5小时。虽然一半的医院设有技能实验室或模拟中心，但只有2家将其常规用于住院医师培训项目。一半的医院评估住院医师的能力和教育项目的质量。
结论
结构化项目和评估系统在日本的外科住院医师培训中尚未得到很好的整合。
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