Pediatric Residency Program, Nationwide Children's Hospital, The Ohio State University, Columbus, Ohio.
Department of Pediatrics, Nationwide Children's Hospital, The Ohio State University, Columbus, Ohio.
Am J Perinatol. 2020 Apr;37(5):511-518. doi: 10.1055/s-0039-1683887. Epub 2019 Mar 20.
This study aimed to report on Neonatal-Perinatal Medicine (NPM) fellows' views of self-preparedness upon starting postresidency training.
We conducted a national survey of first-year NPM fellows in the United States. The validated survey had five major areas: professionalism, psychomotor ability, independence/graduated responsibility, clinical evaluation, and academia. Survey responses were analyzed using descriptive statistics, and the free-text answers were categorized.
Of 228 potential first-year NPM fellows, 140 (61%) initially responded to the survey. Overall, the fellows perceived themselves positively in professionalism and independence/graduated responsibility domains. Marked variability was observed in perceived preparedness in psychomotor ability, with confidence in neonatal intubation and arterial line placement of 86 and 49%, respectively. Lack of confidence in performing neonatal intubation procedures correlates with lack of attempts. The majority (75%) of fellows reported being interested in academia, but less than half felt capable of writing an article.
First-year NPM fellows identified deficiencies in the domains of psychomotor ability and academia. Residency and fellowship programs should partner to address these deficiencies.
本研究旨在报告新生儿围产医学（NPM）研究员在开始住院后培训时对自我准备情况的看法。
我们对美国的第一年 NPM 研究员进行了一项全国性调查。经过验证的调查有五个主要领域：专业精神、心理运动能力、独立性/毕业责任、临床评估和学术。使用描述性统计对调查结果进行分析，并对自由文本答案进行分类。
在 228 名潜在的第一年 NPM 研究员中，有 140 名（61%）最初对调查做出了回应。总体而言，研究员在专业精神和独立性/毕业责任领域对自己的评价较高。在心理运动能力方面，对自身准备情况的看法存在明显差异，新生儿插管和动脉置管的信心分别为 86%和 49%。缺乏进行新生儿插管操作的信心与尝试不足有关。大多数（75%）研究员表示对学术感兴趣，但不到一半的人认为自己有能力写文章。
第一年 NPM 研究员在心理运动能力和学术领域发现了自身的不足。住院医师和研究员项目应该合作解决这些不足。
