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多机构泌尿外科新兵训练营对新入职泌尿外科住院医师的可行性和疗效。

The Feasibility and Efficacy of a Multi-Institutional Urology Boot Camp for Incoming Urology Residents.

机构信息

Division of Urology, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ.

Division of Urology, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ.

出版信息

Urology. 2021 Jul;153:69-74. doi: 10.1016/j.urology.2020.11.059. Epub 2021 Jan 8.

DOI:10.1016/j.urology.2020.11.059
PMID:33428979
Abstract

OBJECTIVES

To determine the feasibility and perceived usefulness of a pre-residency urology boot camp for first and second year urology residents.

METHODS

First and second year urology residents attended a multi-institutional boot camp in July 2019, which consisted of lectures, a hands-on practical, patient simulation session, and networking social event. Attendees completed a pre-course survey where they rated their comfort level in managing interpersonal, post-operative, and urology-specific scenarios on a Likert scale of 0-5. Participants completed follow-up surveys immediately and 6 months after the course regarding confidence in managing the same scenarios and the impact of boot camp on their training.

RESULTS

6 urology PGY1s (55%) and 5 PGY2s (45%) from 4 institutions attended the boot camp. On the precourse survey, PGY2s had higher average comfort scores compared to PGY1s for all post-operative scenarios besides hypotension but just 2 urology-specific scenarios, difficult Foley troubleshooting (4 vs 3, P < .01) and obstructing urolithiasis with urosepsis (3.6 vs 2.2, P = .05). Immediately after the course, 10 of 11 (91%) residents reported feeling better prepared to handle all scenarios. All participants reported they would recommend this training to other urology residents. Six months later, the majority of respondents reported using knowledge learned in boot camp on a daily basis. All agreed that it was a useful networking experience, and 63% had since contacted other residents they met at the course.

CONCLUSION

A pre-residency boot camp is both feasible and valuable for first- and second-year urology residents for gaining practical medical knowledge and professional networking.

摘要

目的

确定泌尿科住院医师预备营对第一和第二年泌尿科住院医师的可行性和实用性。

方法

第一和第二年泌尿科住院医师参加了 2019 年 7 月的多机构预备营,其中包括讲座、实践操作、患者模拟会议和联谊社交活动。与会者在课前完成了一项调查,他们根据 0-5 的李克特量表评估自己在管理人际关系、术后和泌尿科特定场景方面的舒适度。参与者在课程结束后立即和 6 个月后完成了关于管理相同场景的信心和预备营对其培训的影响的后续调查。

结果

来自 4 个机构的 6 名 PGY1(55%)和 5 名 PGY2(45%)参加了预备营。在课前调查中,PGY2 在除低血压外的所有术后场景中的平均舒适度评分均高于 PGY1,但只有 2 个泌尿科特定场景,即 Foley 导尿困难(4 分对 3 分,P <.01)和伴有脓毒症的梗阻性尿石症(3.6 分对 2.2 分,P = .05)。课程结束后,11 名学员中有 10 名(91%)报告说,他们对处理所有场景更有准备。所有参与者都表示愿意向其他泌尿科住院医师推荐这种培训。6 个月后,大多数受访者报告说他们每天都在使用预备营中学到的知识。所有人都认为这是一次有益的社交活动,63%的人自课程结束以来已经与课程中结识的其他学员联系过。

结论

对于第一和第二年的泌尿科住院医师来说,预备营是一种可行且有价值的获得实践医学知识和专业网络的方式。

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