Ford Samuel E, Patt Joshua C, Scannell Brian P
Department of Orthopaedic Surgery, Carolinas Medical Center, Charlotte, North Carolina.
Department of Orthopaedic Surgery, Carolinas Medical Center, Charlotte, North Carolina.
J Surg Educ. 2016 Jul-Aug;73(4):553-8. doi: 10.1016/j.jsurg.2016.03.008. Epub 2016 Apr 30.
To design and implement a month-long, low-cost, comprehensive surgical skills curriculum built to address the needs of orthopedic surgery interns with high satisfaction among both interns and faculty.
The study design was retrospective and descriptive.
The study was conducted at tertiary care referral center with a medium sized orthopedic residency surgery program (5 residents/year).
Totally 5 orthopedic surgery residents and 16 orthopedic surgery faculty participated.
A general mission was established-to orient the resident to the postgraduate year 1 and prepare them for success in residency. The basic tenets of the American Board of Orthopaedic Surgeons surgical skills program framework were built. Curricular additions included anatomic study, surgical approaches, joint-specific physical examination, radiographic interpretation, preoperative planning, reduction techniques, basic emergency and operating room procedures, cadaveric procedure practice, and introduction to arthroplasty. The program was held in August during protected time for intern participants. In total, 16 orthopedic surgeons instructed 85% of the educational sessions. One faculty member did most of the preparation and organization to facilitate the program. The program ran for a cumulative 89 hours, including 14.5 hours working with cadaveric specimens. The program cost a total of $8100. The average module received a 4.15 rating on a 5-point scale, with 4 representing "good" and 5 representing "excellent."
The program was appropriately timed and addressed topics relevant to the intern without sacrificing clinical experience or burdening inpatient services with interns' absence. The program received high satisfaction ratings from both the interns as well as the faculty. Additionally, the program fostered early relationships between interns and faculty-an unforeseen benefit. In the future, our program plans to better integrate validated learning metrics and improve instruction pertaining to both fluoroscopic examination and arthrocentesis.
设计并实施一项为期一个月的低成本综合外科技能课程,以满足骨科手术实习生的需求,并使实习生和教员都能高度满意。
本研究设计为回顾性和描述性。
该研究在一家三级医疗转诊中心进行,该中心有一个中等规模的骨科住院医师外科项目(每年5名住院医师)。
共有5名骨科住院医师和16名骨科手术教员参与。
确立了总体任务——使住院医师适应第一年的研究生学习,并为他们在住院医师阶段取得成功做好准备。构建了美国骨科医师学会外科技能项目框架的基本原理。课程补充内容包括解剖学研究、手术入路、特定关节体格检查、影像学解读、术前规划、复位技术、基本急救和手术室操作程序、尸体操作练习以及关节置换术介绍。该课程于8月在实习生的受保护时间内举行。总共有16名骨科外科医生指导了85%的教学课程。一名教员负责大部分的准备和组织工作以推动该项目。该课程累计时长89小时,包括14.5小时的尸体标本操作。该项目总成本为8100美元。各模块在5分制量表上的平均评分为4.15分,4分代表“良好”,5分代表“优秀”。
该课程时间安排得当,涉及与实习生相关的主题,同时不牺牲临床经验,也不会因实习生缺勤而给住院服务带来负担。该课程获得了实习生和教员的高度满意度评分。此外,该课程促进了实习生和教员之间的早期关系,这是一个意外收获。未来,我们的项目计划更好地整合经过验证的学习指标,并改进与透视检查和关节穿刺相关的教学。