Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
World Neurosurg. 2019 Oct;130:e874-e879. doi: 10.1016/j.wneu.2019.07.030. Epub 2019 Jul 10.
Socioeconomic topics such as federal mandates/regulations, conflict of interest, and practice management have become increasingly important for all neurosurgeons. Graduating residents immediately need a host of skills to successfully navigate neurosurgical practice. Surgical and medical skills are closely evaluated through the American Board of Neurological Surgery, and a formal socioeconomic curriculum has been developed with defined milestones. Nevertheless, little has been done to evaluate neurosurgery resident competence in socioeconomic and medicolegal principles. The purpose of this study was to assess the competence of Accreditation Council for Graduate Medical Education neurosurgical residents in socioeconomic knowledge.
Neurosurgery resident members of the American Association of Neurological Surgeons (N = 1385) were sent a Survey Monkey of 10 questions. The survey covered the most basic of socioeconomic principles. Initial survey responses were collected across a 1-month period from April to May 2018.
The response rate was 14% (194/1385). Overall, neurosurgery residents would have received a grade of D, with an average score of 67% on the survey. For 7 of the 10 questions, the majority (>50%) of neurosurgery residents answered correctly. Furthermore, for 3 questions, more than 90% of residents selected the correct answer. However, for one-half of all questions, residents averaged a score of less than 65%. Residents tended to answer questions correctly for physician compensation and compensation models, but incorrectly for topics of informed consent, Controlled Substances Act, and conflicts of interest.
With the increasing complexity of neurosurgery practice, solid knowledge of socioeconomic topics is essential. The study confirms suspected deficiencies in socioeconomic proficiency among neurosurgery residents, despite the availability of a validated curriculum. This knowledge gap will likely affect career success and satisfaction. Nevertheless, this survey had a significantly low response rate, and it may be an incomplete representation of the neurosurgical resident mind. Focused educational initiatives through the neurosurgical Residency Review Committee and individual training programs must facilitate an action plan that ensures the effective implementation of socioeconomic curricula.
对于所有神经外科医生来说，社会经济主题（如联邦法规/规定、利益冲突和实践管理）变得越来越重要。即将毕业的住院医师立即需要掌握一系列技能，以便成功开展神经外科实践。美国神经外科学会（American Board of Neurological Surgery）对手术和医疗技能进行了严格评估，并制定了正式的社会经济课程，其中包含明确的里程碑。尽管如此，人们在评估神经外科住院医师在社会经济和医学法律原则方面的能力方面做得还很少。本研究旨在评估美国神经外科学会（American Association of Neurological Surgeons）认证的神经外科住院医师在社会经济知识方面的能力。
美国神经外科学会（American Association of Neurological Surgeons）的神经外科住院医师成员（N=1385）被发送了一份 Survey Monkey 的 10 个问题。该调查涵盖了最基本的社会经济原则。2018 年 4 月至 5 月，在一个月的时间内首次收集调查回复。
回复率为 14%（194/1385）。总的来说，神经外科住院医师的成绩为 D，平均得分为 67%。对于 10 个问题中的 7 个，大多数（>50%）神经外科住院医师回答正确。此外，对于 3 个问题，超过 90%的住院医师选择了正确答案。然而，对于一半的问题，住院医师的平均分数都低于 65%。住院医师在医生薪酬和薪酬模型方面的回答往往正确，但在知情同意、《受控物质法》和利益冲突方面的回答错误。
随着神经外科实践日益复杂，扎实的社会经济知识至关重要。该研究证实，尽管有经过验证的课程，但神经外科住院医师在社会经济学方面的熟练程度仍存在不足。这种知识差距可能会影响职业成功和满意度。然而，这项调查的回复率非常低，可能无法全面反映神经外科住院医师的想法。神经外科住院医师审查委员会和个人培训计划必须通过有针对性的教育计划，来确保社会经济课程的有效实施。
