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COVID-19 对外科教育的持久影响:全球大流行背景下住院医师和带教医师的观点。

The lasting footprint of COVID-19 on surgical education: A resident and attending perspective on the global pandemic.

机构信息

Division of Thoracic Surgery, Cedars-Sinai Medical Center, 8631 W. 3rd Street, Suite 240E, Los Angeles, CA, 90048, USA.

Department of Surgery, Cedars-Sinai Medical Center, 8700 Beverly Blvd. North Tower, Suite 8215, Los Angeles, CA, 90048, USA.

出版信息

Am J Surg. 2021 Sep;222(3):473-480. doi: 10.1016/j.amjsurg.2020.12.046. Epub 2020 Dec 30.

Abstract

BACKGROUND

The COVID-19 pandemic has impacted surgical training nationwide. Our former curricula will likely not return, and training will need to adapt, so we are able to graduate residents of the same caliber as prior to the pandemic.

METHODS

A survey evaluating perceptions of changes made in surgical training was conducted on surgery residents and attendings.

RESULTS

Disaster medicine training has become more relevant and 85% residents and 75% attendings agreed it should be incorporated into the curriculum. Safety of family was the most significant concern of residents. Virtual curriculum was perceived to be acceptable by 82% residents and only 22% attendings (p < 0.01). Residents (37%) were less concerned than attendings (61%) of falling behind on their overall training (p = 0.04). Both groups agreed operative skills would be adversely affected (56%vs72%; p = 0.37).

CONCLUSIONS

To maintain an effective surgical curriculum, programs will need to implement new educational components to better prepare residents to become surgeons of the future.

摘要

背景

COVID-19 大流行对全国范围内的外科培训产生了影响。我们以前的课程可能不会恢复,培训将需要适应,以便我们能够培养出与大流行前同等水平的住院医师。

方法

对外科住院医师和主治医生进行了一项评估外科培训中所做改变的看法的调查。

结果

灾难医学培训变得更加相关,85%的住院医师和 75%的主治医生同意将其纳入课程。居民最关心的是家庭安全。82%的住院医师和只有 22%的主治医生(p<0.01)认为虚拟课程可以接受。住院医师(37%)比主治医生(61%)更不担心整体培训落后(p=0.04)。两组都认为手术技能会受到不利影响(56%对 72%;p=0.37)。

结论

为了保持有效的外科课程,项目将需要实施新的教育内容,以使住院医师更好地为成为未来的外科医生做好准备。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d8b/7773322/965a5da2d3b3/gr1_lrg.jpg

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