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当前骨科住院医师的教育资源利用情况:一项全国性调查。

Educational Resource Utilization by Current Orthopaedic Surgical Residents: A Nation-wide Survey.

作者信息

Rogers Miranda J, Zeidan Michelle, Flinders Zachary S, Presson Angela P, Burks Robert

机构信息

Department of Orthopaedic Surgery, University of Utah Orthopedic Center, University of Utah, Salt Lake City, UT (Dr. Rogers, Dr. Zeidan, and Dr. Burks); the University of Utah School of Medicine, Salt Lake City, UT (Mr. Flinders); and the Division of Epidemiology, Department of Orthopaedic Surgery, University of Utah, Salt Lake City, UT (Dr. Presson).

出版信息

J Am Acad Orthop Surg Glob Res Rev. 2019 Apr 30;3(4):e041. doi: 10.5435/JAAOSGlobal-D-19-00041. eCollection 2019 Apr.

Abstract

BACKGROUND

More than 150 accredited orthopaedic residency programs exist in the United States with more than 3,300 residents. Every year, between 600 and 800 orthopaedic surgeons complete board certification. However, little is known about what residents use and prefer of the many resources available to them. The purpose of this study is to understand how orthopaedic residents across the country prioritize educational resources.

METHODS

An 18-question survey with subqueries was compiled on the REDCap (Research Electronic Data Capture) platform. Residents were reached through program coordinators, program directors, and word of mouth. There were 374 total respondents. Responses were summarized for the total population and stratified separately by sex, location, and year of training. values were adjusted for multiple comparisons using the Bonferroni method.

RESULTS

Respondents were 83.4% male and 16.6% female. Orthobullets was the single most valued resource and general review articles were the single most valued journal resource. The average time spent studying was 10.7 hr/wk (SD = 7.6), with no notable differences by program location or sex. A significantly larger percentage of female residents placed more importance on specialty-specific journals (32.8% rated as very important versus 19.9% from males, = 0.016) and research-related journals ( = 0.004). VuMedi use significantly increased until postgraduate year-4 ( < 0.001), whereas residents earlier in training used YouTube more often ( = 0.026). There were differences in journal prioritization by program region, with the Midwest, Northeast, and South preferring primary, focused articles and the Northeast, South, and West emphasizing systematic review articles ( = 0.032). Industry-sponsored events were used by 67.4% of residents as an educational adjunct.

CONCLUSIONS

Current residents-regardless of sex, location, and year in training-use Orthobullets and other electronic resources. There continues to be utilization of industry-sponsored resources, although they are not the primary focus for those in training.

摘要

背景

美国有150多个经认可的骨科住院医师培训项目,住院医师超过3300名。每年有600至800名骨科外科医生完成委员会认证。然而,对于住院医师在众多可用资源中使用哪些以及更喜欢哪些,人们了解甚少。本研究的目的是了解全国骨科住院医师如何对教育资源进行优先排序。

方法

在REDCap(研究电子数据采集)平台上编制了一份包含子问题的18个问题的调查问卷。通过项目协调员、项目主任以及口碑联系住院医师。共有374名受访者。对总体人群的回答进行了总结,并按性别、地点和培训年份分别进行了分层。使用Bonferroni方法对p值进行了多重比较调整。

结果

受访者中男性占83.4%,女性占16.6%。Orthobullets是最受重视的单一资源,一般性综述文章是最受重视的单一期刊资源。平均学习时间为每周10.7小时(标准差=7.6),按项目地点或性别无显著差异。显著更高比例的女性住院医师更重视专科特定期刊(32.8%认为非常重要,而男性为19.9%,p=0.016)和与研究相关的期刊(p=0.004)。VuMedi的使用在研究生四年级之前显著增加(p<0.001),而培训早期住院医师更常使用YouTube(p=0.026)。按项目地区划分,期刊优先排序存在差异,中西部、东北部和南部更喜欢原发性、重点文章,而东北部、南部和西部强调系统综述文章(p=0.032)。67.4%的住院医师将行业赞助活动用作教育辅助手段。

结论

当前的住院医师——无论性别、地点和培训年份——都使用Orthobullets和其他电子资源。行业赞助资源仍在被利用,尽管它们不是培训人员的主要关注点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f8f/6510462/a59e58a7cbf4/jagrr-3-e041b-g002.jpg

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