Department of General Surgery, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, No. 321 Zhongshan Road, Nanjing, 210008, Jiangsu, People's Republic of China.
World J Surg. 2020 Nov;44(11):3607-3615. doi: 10.1007/s00268-020-05669-x.
Boot camp can enable residents to acquire surgical skills and confidence, but they can lose these skills over time if they do not use them. The purpose of this study was to explore whether boot camp and subsequent repetitive practice could strengthen residents' clinical skills and self-confidence.
This is a comparative study of surgical residents who were enrolled in our institution from 2016 to 2017. The residents in the experimental group (enrolled in 2017) received boot camp training and a year of repetitive practice. The control group (enrolled in 2016) only received routine residency training. The rotation assessment pass rates of the two groups during the first year of the residency training were compared. A survey was conducted at different points in time to investigate the influence of boot camp and repetitive practice on the confidence of the residents.
The assessment pass rate of the experimental group was significantly higher than that of the control group (p < 0.05). The residents' confidence in themselves improved significantly after the boot camp, and it was comparable to that of the residents in the control group after their first year of residency. The level of self-confidence of the experimental group was further improved after repetitive practice. Finally, residents in the experimental group received better evaluations by their colleagues than the control group received.
This study showed that boot camp can improve the surgical skills and confidence of residents and that repetitive practice can further strengthen them. Residents in the experimental group developed their self-confidence in boot camp, and it increased after repetitive practice.
训练营可以使住院医师获得手术技能和信心，但如果不经常使用，他们的技能可能会随着时间的推移而丧失。本研究旨在探讨训练营和随后的重复练习是否可以增强住院医师的临床技能和自信心。
这是一项比较研究，纳入了 2016 年至 2017 年在我院接受培训的外科住院医师。实验组（2017 年入组）接受训练营培训和一年的重复练习。对照组（2016 年入组）仅接受常规住院医师培训。比较两组在住院医师培训第一年的轮转评估通过率。在不同时间点进行调查，以了解训练营和重复练习对住院医师信心的影响。
实验组的评估通过率明显高于对照组（p<0.05）。训练营后，住院医师的自信心明显提高，与对照组住院医师第一年的自信心相当。重复练习后，实验组的自信心进一步提高。最后，实验组的住院医师得到了同事的更好评价。
本研究表明，训练营可以提高住院医师的手术技能和信心，重复练习可以进一步加强这些技能和信心。实验组的住院医师在训练营中增强了自信心，在重复练习后进一步增强。
