Lobato Ramiro D, Jiménez Roldan Luis, Alen José F, Castaño Ana M, Munarriz Pablo M, Cepeda Santiago, Lagares Alfonso
Servicio de Neurocirugía, Hospital «12 de Octubre», Facultad de Medicina, UCM, Madrid, España.
Servicio de Neurocirugía, Hospital «12 de Octubre», Facultad de Medicina, UCM, Madrid, España.
Neurocirugia (Astur). 2016 Mar-Apr;27(2):75-86. doi: 10.1016/j.neucir.2016.02.001. Epub 2016 Mar 2.
A programme proposal for competency-based Neurosurgery training adapted to the specialization project is presented. This proposal has been developed by a group of neurosurgeons commissioned by the SENEC (Spanish Society of Neurosurgery) and could be modified to generate a final version that could come into force coinciding with the implementation of the specialization programme. This document aims to facilitate the test of the new programme included in the online version of our journal.
Total training period is 6 years; initial 2 years belong to the surgery specialization and remaining 4 years belong to core specialty period.
It is a competency-based programmed based on the map used by the US Accreditation Council for Graduate Medical Education (ACGME) including the following domains of clinical competency: Medical knowledge, patient care, communication skills, professionalism, practice-based learning and improvement, health systems, interprofessional collaboration and professional and personal development. Subcompetencies map in the domains of Knowledge and Patient care (including surgical competencies) was adapted to the one proposed by AANS and CNS (annex 1 of the programme). A subcompetency map was also used for the specialization rotations.
Resident's training is based on personal study (self-learning) supported by efficient use of information sources and supervised clinical practice, including bioethical instruction, clinical management, research and learning techniques.
Resident evaluation proposal includes, among other instruments, theoretical knowledge tests, objective and structured evaluation of the level of clinical competency with real or standardised patients, global competency scales, 360-degree evaluation, clinical record audits, milestones for residents progress and self-assessment (annex 2). Besides, residents periodically assess the teaching commitment of the department's neurosurgeons and other professors participating in rotations, and annually assess the overall operation of the programme. Results of evaluations are registered, together with other relevant data, in the Resident's Book.
PROGRAMME'S NATIONAL COMMITTEE: The creation of a Programme Committee directly attached to the SENEC (National Commission) that, aside from generating a final version of the programme, monitors its implementation (level of adherence and operation in the different departments), assumes the creation of test banks and the centralized administration of knowledge tests (in the middle of the residency and/or at the end of it) and centralizes information collected by tutors that could be used for re-accreditation of the services, is proposed.
本文提出了一项基于能力的神经外科培训计划提案，该提案适用于专科化项目。该提案由西班牙神经外科学会（SENEC）委托的一组神经外科医生制定，并可进行修改以生成最终版本，该版本可能在专科化计划实施时生效。本文旨在促进对我们期刊在线版本中包含的新计划的测试。
总培训期为6年；最初2年属于外科专科培训，其余4年属于核心专科培训期。
这是一项基于能力的计划，基于美国毕业后医学教育认证委员会（ACGME）使用的图谱，包括以下临床能力领域：医学知识、患者护理、沟通技能、职业素养、基于实践的学习与改进、卫生系统、跨专业协作以及专业和个人发展。知识和患者护理领域（包括手术能力）的子能力图谱与美国神经外科医师协会（AANS）和美国神经外科医师学会（CNS）提出的图谱相适应（计划附件1）。专科轮转也使用了子能力图谱。
住院医师培训基于个人学习（自主学习），辅以有效利用信息资源和带教临床实践，包括生物伦理教学、临床管理、研究和学习技巧。
住院医师评估提案除其他工具外，还包括理论知识测试、对真实或标准化患者临床能力水平的客观结构化评估、整体能力量表、360度评估、临床记录审核、住院医师进展里程碑和自我评估（附件2）。此外，住院医师定期评估科室神经外科医生和参与轮转的其他教授的教学投入，并每年评估该计划的整体运作情况。评估结果与其他相关数据一起记录在住院医师手册中。
提议设立一个直接隶属于SENEC（国家委员会）的计划委员会，该委员会除了生成计划的最终版本外，还监督其实施情况（不同科室的遵守程度和运作情况），负责创建题库和集中管理知识测试（在住院医师培训中期和/或结束时），并集中导师收集的可用于服务再认证的信息。
