Huckaby Lauren V, Cyr Anthony R, Lee Kenneth, Steiman Jennifer G
Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
J Surg Educ. 2020 Mar-Apr;77(2):254-259. doi: 10.1016/j.jsurg.2019.09.017. Epub 2019 Nov 11.
Extrinsic burdens, including new personal and professional responsibilities, may distract from early career success. We sought to assess resident preparedness in nonclinical topics and to utilize this data to design a curriculum to address these content areas.
All residents were surveyed to ascertain their self-reported preparedness on a variety of nonclinical topics (teaching, finances, contract negotiation, real estate, etc.). Using our survey results, a monthly curriculum was designed and implemented for senior residents based on these knowledge gaps.
University-based general surgery residency program.
All general surgery residents.
Residents reported low levels of preparedness on the topics of contract negotiation and practice management and high levels of preparedness on the topics of teaching and money management. Following curriculum implementation, statistically significant improvement was noted in the topics of contract negotiation and academic pursuits.
Residents report low levels of preparedness in many nonclinical topics that may represent potentially modifiable stressors that can impact career success. Implementation of a directed curriculum improves sense of preparedness and may promote wellness among surgical trainees.
外部负担，包括新的个人和职业责任，可能会分散对早期职业成功的注意力。我们试图评估住院医师在非临床主题方面的准备情况，并利用这些数据设计一门课程来涵盖这些内容领域。
对所有住院医师进行调查，以确定他们在各种非临床主题（教学、财务、合同谈判、房地产等）方面自我报告的准备情况。根据我们的调查结果，针对高年级住院医师基于这些知识差距设计并实施了月度课程。
大学附属医院普通外科住院医师培训项目。
所有普通外科住院医师。
住院医师报告在合同谈判和实践管理主题方面准备程度较低，而在教学和资金管理主题方面准备程度较高。课程实施后，在合同谈判和学术追求主题方面有统计学上的显著改善。
住院医师报告在许多非临床主题方面准备程度较低，这些主题可能代表了潜在的可改变的压力源，会影响职业成功。实施定向课程可提高准备意识，并可能促进外科住院医师的健康。
