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从医学院到住院医师规范化培训的转变:学员的看法。

Trainees' Perceptions of the Transition From Medical School to Residency.

出版信息

J Grad Med Educ. 2020 Oct;12(5):611-614. doi: 10.4300/JGME-D-20-00183.1.

Abstract

BACKGROUND

There is emerging evidence that learners may be suboptimally prepared for the expectations of residency. In order to address these concerns, many medical schools are implementing residency preparation courses (RPCs).

OBJECTIVE

We aimed to determine trainees' perceptions of their transition to residency and whether they felt that they benefited from participation in an RPC.

METHODS

All residents and fellows at the University of Michigan (n = 1292) received an electronic survey in July 2018 that queried respondents on demographics, whether medical school had prepared them for intern year, and whether they had participated in an RPC.

RESULTS

The response rate was 44% (563 of 1292) with even distribution across gender and postgraduate years (PGYs). Most (78%, 439 of 563) felt that medical school prepared them well for intern year. There were no differences in reported preparedness for intern year across PGY, age, gender, or specialty. Overall, 28% (156 of 563) of respondents participated in an RPC and endorsed feeling prepared for intern year, which was more than RPC non-participants (85% [133 of 156] vs 70% [306 of 439], = .029). Participation in longer RPCs was also associated with higher perceived preparedness for residency.

CONCLUSIONS

This study found that residents from multiple specialties reported greater preparedness for residency if they participated in a medical school fourth-year RPC, with greater perceptions of preparedness for longer duration RPCs, which may help to bridge the medical school to residency gap.

摘要

背景

有新的证据表明,学习者可能无法充分适应住院医师的期望。为了解决这些问题,许多医学院正在开设住院医师准备课程(RPC)。

目的

我们旨在确定受训者对过渡到住院医师的看法,以及他们是否认为参加 RPC 对他们有帮助。

方法

密歇根大学的所有住院医师和研究员(n=1292)在 2018 年 7 月收到了一份电子调查,询问他们的人口统计学信息、医学院是否为他们的实习年做好了准备,以及他们是否参加了 RPC。

结果

回复率为 44%(563/1292),在性别和研究生年级(PGY)之间分布均匀。大多数人(78%,439/563)认为医学院为他们的实习年做好了充分的准备。在实习年的准备情况方面,PGY、年龄、性别或专业之间没有差异。总体而言,28%(156/563)的受访者参加了 RPC,并表示对实习年有准备,这比未参加 RPC 的人(85%[133/156]比 70%[306/439], =.029)更多。参加更长时间的 RPC 也与更高的住院医师准备度感知相关。

结论

本研究发现,来自多个专业的住院医师如果参加医学院四年级的 RPC,他们对住院医师的准备度更高,如果参加更长时间的 RPC,他们对住院医师的准备度感知更高,这可能有助于弥合医学院与住院医师之间的差距。

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