Smeds Matthew R, Thrush Carol, Kimbrough Mary K, Moursi Mohammed M
Associate Professor, Division Chief - Vascular Surgery, Division of Vascular and Endovascular Surgery, Department of Surgery, Program Director - Vascular Surgery Training Programs, Saint Louis University, Saint Louis, Missouri.
Associate Professor, Department of Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
J Surg Res. 2018 Dec;232:94-98. doi: 10.1016/j.jss.2018.06.030. Epub 2018 Jul 4.
Mock oral examinations (MOEs) are valuable tools for knowledge assessment and preparation for the surgical certifying examinations. Use of MOE is not standardized. We sought to determine the current use in vascular residencies/fellowships.
Program directors (PD) of all U.S. vascular training programs were sent anonymous online surveys in July of 2015 evaluating importance of MOEs, current use, barriers to implementation, and preparedness of trainees to sit for the certifying board examination (CE). Comparisons were performed between programs that use MOEs and those that do not.
Fifty-four percent (59/108) of program directors completed the survey. The majority believed MOEs are important for vascular residents and fellows (86% versus 81%); however, only 51% (30/59) use them. The most common reason for using MOE was to provide feedback about readiness for the CE (90%). Of programs not giving MOE, 69% expected their trainees to get oral examinations at national conferences. The most common barriers to implementation/continuation of MOEs were availability of faculty (48%) or time (31%). Irrespective of whether they used MOE or not, 29% believed vascular fellows were better prepared for the CE than vascular residents.
MOEs are regarded as a valuable tool to prepare trainees for the CE. However, it is not a commonly adopted practice, due to variables such as institutional/faculty availability. A third of program directors believed that vascular fellows were more prepared to pass the CE than vascular residents which may warrant further investigation into how programs can more rigorously prepare vascular residents for the vascular CEs.
模拟口试(MOEs)是知识评估以及准备外科认证考试的重要工具。然而,模拟口试的使用并不规范。我们试图确定其目前在血管外科住院医师培训项目/进修项目中的使用情况。
2015年7月,我们向美国所有血管外科培训项目的项目主任发送了匿名在线调查问卷,评估模拟口试的重要性、当前使用情况、实施障碍以及学员参加认证委员会考试(CE)的准备情况。对使用模拟口试的项目和未使用模拟口试的项目进行了比较。
54%(59/108)的项目主任完成了调查。大多数人认为模拟口试对血管外科住院医师和进修医生很重要(分别为86%和81%);然而,只有51%(30/59)的项目使用模拟口试。使用模拟口试最常见的原因是提供关于参加认证委员会考试准备情况的反馈(90%)。在未进行模拟口试的项目中,69%期望他们的学员在全国性会议上参加口试。模拟口试实施/持续开展的最常见障碍是教员资源(48%)或时间(31%)。无论是否使用模拟口试,29%的人认为血管外科进修医生比血管外科住院医师为参加认证委员会考试准备得更好。
模拟口试被视为培训学员参加认证委员会考试的重要工具。然而,由于诸如机构/教员资源等变量,它并非普遍采用的做法。三分之一的项目主任认为血管外科进修医生比血管外科住院医师更有准备通过认证委员会考试,这可能需要进一步研究项目如何能更严格地让血管外科住院医师为血管外科认证委员会考试做好准备。