Patel Mitesh, Kapoor Harit, Mittal Vijay K
Am Surg. 2018 Nov 1;84(11):1745-1749.
In 2014 to 2015, the American Council for Graduate Medical Education required that graduating surgical residents must complete 25 cases as a teaching assistant (TA). The definition of TA varies among programs. The purpose of this study is to gain insight into how many cases residents log as a TA, the operative setting, and the types of cases performed. An online survey of 21 questions was sent email to all general surgery program directors across the nation between August and October of 2015. Questions regarding the number of cases performed as TA, types of cases performed, and the operative setting were asked. We received 88 responses of 200 surveys sent. Fifty-two per cent of programs stated that their graduating residents log more than 25 cases as TA on graduating. All 88 respondents stated that senior residents acted as TAs in the operating room; of these respondents, 59 per cent stated that senior residents acted as TAs in the clinic also, 66 per cent on floors, and 70 per cent in the emergency room. The definition of TA differs among programs. Also, the types of cases that residents log as TA varies among programs as there are no clear guidelines set by the American Council for Graduate Medical Education as to what constitutes a TA case. Nonetheless, in most programs, senior residents perform more than 25 TA cases.
2014年至2015年期间，美国毕业后医学教育委员会要求即将毕业的外科住院医师必须完成25例教学助理（TA）工作。各项目中TA的定义有所不同。本研究的目的是深入了解住院医师作为TA记录的病例数量、手术环境以及所实施病例的类型。2015年8月至10月期间，通过电子邮件向全国所有普通外科项目主任发送了一份包含21个问题的在线调查问卷。询问了关于作为TA实施的病例数量、所实施病例的类型以及手术环境等问题。在发送的200份调查问卷中，我们收到了88份回复。52%的项目表示，他们即将毕业的住院医师作为TA记录的病例超过25例。所有88位受访者均表示，高年级住院医师在手术室担任TA；在这些受访者中，59%表示高年级住院医师在门诊也担任TA，66%在病房，70%在急诊室。各项目中TA的定义不同。此外，各项目中住院医师作为TA记录的病例类型也有所不同，因为美国毕业后医学教育委员会对于什么构成TA病例没有明确的指导方针。尽管如此，在大多数项目中，高年级住院医师实施的TA病例超过25例。
