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面向小儿外科住院医师的学科课程过渡:2017年至2018年小儿外科新兵训练营评估

A transition to discipline curriculum for pediatric surgery trainees: Evaluation of a pediatric surgery boot camp from 2017 to 2018.

作者信息

Blackmore Christopher, Puligandla Pramod S, Emil Sherif, Romao Rodrigo, Lopushinsky Steven R

机构信息

Division of Pediatric General and Thoracic Surgery, IWK Health Centre, Dalhousie University, Halifax, Nova Scotia, Canada.

Department of Pediatric Surgery, The Montreal Children's Hospital and Shriners Hospital for Children, McGill University, Montreal, Quebec, Canada.

出版信息

J Pediatr Surg. 2019 May;54(5):1024-1028. doi: 10.1016/j.jpedsurg.2019.01.047. Epub 2019 Feb 4.

Abstract

INTRODUCTION

Boot camps seek to impart knowledge and skills for individuals entering new roles. We sought to evaluate knowledge, skills, and confidence of in-coming pediatric surgery trainees with a 2.5-day pediatric surgery boot camp.

METHODS

A curriculum included key aspects of pediatric surgery delivered during interactive lectures, small group discussions, and simulation. With REB approval, participant demographics were collected. Pre- and posttests assessed knowledge and trainee confidence. Comparative statistics and multivariate analysis of variance (MANOVA) were performed.

RESULTS

Between 2017 and 2018, 16 individuals from North American pediatric surgery training programs participated in two boot camps. Ten had North American general surgery training, and eleven had no pediatric surgery exposure ≥1 year prior. All participants expressed increased confidence with course material after boot camp [F(18,11) = 3.137;p < 0.05]. Performance improved significantly (pre- vs. posttests, 47.0% vs. 62.4%; p < 0.05). MANOVA between faculty and trainees demonstrated agreement on the value of individual sessions [F(15,3) = 0.642;p = 0.76]. Neonatal bowel obstruction, gastrostomy tube complications, esophageal atresia, pain management, and informed consent were rated most useful.

CONCLUSION

Trainees and teaching faculty considered the boot camp valuable. Trainees demonstrated significant improvements in core knowledge and confidence. The initial pediatric surgery boot camp experience shows promise in facilitating the transition to discipline for new trainees.

STUDY TYPE

Prospective treatment study.

LEVEL OF EVIDENCE

IV.

摘要

引言

新兵训练营旨在为进入新角色的个人传授知识和技能。我们试图通过一个为期2.5天的小儿外科新兵训练营来评估即将入学的小儿外科受训人员的知识、技能和信心。

方法

课程包括在互动讲座、小组讨论和模拟过程中传授的小儿外科关键方面。经研究伦理委员会批准,收集了参与者的人口统计学数据。通过课前和课后测试评估知识和受训人员的信心。进行了比较统计和多变量方差分析(MANOVA)。

结果

在2017年至2018年期间,来自北美小儿外科培训项目的16人参加了两期新兵训练营。10人有北美普通外科培训经历,11人在至少1年前没有小儿外科接触经历。所有参与者在新兵训练营后对课程材料的信心都有所增强[F(18,11) = 3.137;p < 0.05]。成绩有显著提高(课前与课后测试,47.0%对62.4%;p < 0.05)。教员和受训人员之间的多变量方差分析表明,双方对各个课程的价值达成了共识[F(15,3) = 0.642;p = 0.76]。新生儿肠梗阻、胃造瘘管并发症、食管闭锁、疼痛管理和知情同意被评为最有用。

结论

受训人员和教学教员认为新兵训练营很有价值。受训人员在核心知识和信心方面有显著提高。最初的小儿外科新兵训练营经历有望促进新受训人员向该学科的过渡。

研究类型

前瞻性治疗研究。

证据水平

IV级。

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