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耳鼻喉科住院医师手术病例准备中的自主学习

Self-directed Learning in Otolaryngology Residents' Preparation for Surgical Cases.

作者信息

Jabbour Jad, Bakeman Anna, Robey Thomas, Jabbour Noel

机构信息

1 Department of Otolaryngology and Communication Sciences, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.

2 Department of Otolaryngology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

出版信息

Ann Otol Rhinol Laryngol. 2017 Apr;126(4):296-303. doi: 10.1177/0003489417691300. Epub 2017 Feb 8.

Abstract

OBJECTIVES

To characterize the nature of surgical preparation among otolaryngology residents nationwide, determine the self-rated effectiveness and efficiency of case preparation practices, and identify potential means for educational improvement.

METHODS

A survey examining the study objectives was developed and distributed to otolaryngology residents nationwide. Survey response data were submitted to descriptive analysis and comparative analyses between junior and senior residents. Literature regarding case preparation among otolaryngology residents was reviewed.

RESULTS

Among 108 resident respondents, the most commonly used resources included textbooks (86.1%), surgical education websites (74.1%), and surgical atlases (66.7%). Time was the primary limitation (cited by 84.3%) and convenience the predominant factor influencing resource selection (92.5%). On a 5-point Likert scale, mean scores regarding effectiveness and efficiency of case preparation were 3.53 ± 0.68 and 3.19 ± 0.88, respectively. Senior residents compared to junior residents were more likely to rate their preparation as effective (3.75 ± 0.54 vs 3.40 ± 0.72, P = .008) and efficient (3.45 ± 0.85 vs 3.03 ± 0.86, P = .02).

CONCLUSION

Otolaryngology residents do not consistently rate their case preparation as effective or efficient. While there appears to be progress in self-directed learning throughout residency, room for improvement remains, with potential avenues for such improvement explored here.

摘要

目的

描述全国耳鼻喉科住院医师的手术准备情况,确定病例准备实践的自我评估有效性和效率,并找出教育改进的潜在方法。

方法

开展一项针对研究目标的调查,并分发给全国的耳鼻喉科住院医师。将调查回复数据进行描述性分析以及低年资和高年资住院医师之间的比较分析。查阅了有关耳鼻喉科住院医师病例准备的文献。

结果

在108名住院医师受访者中,最常用的资源包括教科书(86.1%)、外科教育网站(74.1%)和外科图谱(66.7%)。时间是主要限制因素(84.3%的人提到),便利性是影响资源选择的主要因素(92.5%)。在5分制李克特量表上,病例准备有效性和效率的平均得分分别为3.53±0.68和3.19±0.88。与低年资住院医师相比,高年资住院医师更有可能认为他们的准备是有效的(3.75±0.54对3.40±0.72,P = .008)和高效的(3.45±0.85对3.03±0.86,P = .02)。

结论

耳鼻喉科住院医师对其病例准备的有效性或效率评价并不一致。虽然在整个住院医师培训期间自主学习方面似乎有进展,但仍有改进空间,本文探讨了改进的潜在途径。

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