Acosta Danilo, Castillo-Angeles Manuel, Garces-Descovich Alejandro, Watkins Ammara A, Gupta Alok, Critchlow Jonathan F, Kent Tara S
Department of Obstetrics & Gynecology, Maimonides Medical Center, Brooklyn, New York.
Department of Surgery, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
J Surg Educ. 2018 Mar-Apr;75(2):263-270. doi: 10.1016/j.jsurg.2017.07.013. Epub 2017 Aug 19.
To provide an overview of the practical skills learning curriculum and assess its effects over time on the surgical interns' perceptions of their technical skills, patient management, administrative tasks, and knowledge.
An 84-hour practical skills curriculum composed of didactic, simulation, and practical sessions was implemented during the 2015 to 2016 academic year for general surgery interns. Totally, 40% of the sessions were held during orientation, whereas the remainder sessions were held throughout the academic year. Interns' perceptions of their technical skills, administrative tasks, patient management, and knowledge were assessed by the practical skills curriculum residents' perception survey at various time points during their intern year (baseline, midpoint, and final). Interns were also asked to fill out an evaluation survey at the completion of each session to obtain feedback on the curriculum.
General Surgery Residency program at a tertiary care academic institution.
20 General Surgery categorical and preliminary interns.
Significant differences were found over time in interns' perceptions on their technical skills, patient management, administrative tasks, and knowledge (p < 0.001 for all). The results were also statistically significant when accounting for a prior boot camp course in medical school, intern status (categorical or preliminary), and gender (p < 0.05 for all). Differences in interns' perceptions occurred both from baseline to midpoint, and from midpoint to final time point evaluations (p < 0.001 for all). Prior surgical boot camp in medical school status, intern status (categorical vs. preliminary), and gender did not differ in the interns' baseline perceptions of their technical skills, patient management, administrative tasks, and knowledge (p > 0.05 for all).
Implementation of a Practical Skills Curriculum in surgical internships can improve interns' confidence perception on their technical skills, patient management skills, administrative tasks, and knowledge.
概述实践技能学习课程，并评估其随着时间推移对外科实习医生在技术技能、患者管理、行政任务和知识方面认知的影响。
2015至2016学年为普通外科实习医生实施了一门由理论教学、模拟和实践课程组成的84小时实践技能课程。其中40%的课程在入职培训期间进行，其余课程在整个学年中开展。通过实践技能课程住院医师认知调查，在实习医生实习年度的不同时间点（基线、中点和期末）评估他们对技术技能、行政任务、患者管理和知识的认知。在每门课程结束时，还要求实习医生填写一份评估调查问卷，以获取对该课程的反馈。
一所三级医疗学术机构的普通外科住院医师培训项目。
20名普通外科分类和初级实习医生。
随着时间推移，实习医生在技术技能、患者管理、行政任务和知识方面的认知存在显著差异（所有p<0.001）。在考虑医学院之前的新兵训练营课程、实习医生身份（分类或初级）和性别后，结果在统计学上也具有显著性（所有p<0.05）。实习医生的认知差异在基线到中点以及中点到期末评估中均有出现（所有p<0.001）。医学院之前的外科新兵训练营课程、实习医生身份（分类与初级）和性别在实习医生对技术技能、患者管理、行政任务和知识的基线认知方面没有差异（所有p>0.05）。
在外科实习中实施实践技能课程可以提高实习医生对其技术技能、患者管理技能、行政任务和知识的信心认知。
