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外科课程一致性:教育梦想的挽歌。

Surgical curriculum concordance: requiem for the educational dream.

机构信息

School of Surgery, NHS Wales Health Education and Improvement Wales, Nantgarw, Rhondda Cynon Taff, UK

School of Surgery, NHS Wales Health Education and Improvement Wales, Nantgarw, Rhondda Cynon Taff, UK.

出版信息

Postgrad Med J. 2022 Jun;98(1160):411-414. doi: 10.1136/postgradmedj-2020-139385. Epub 2021 Jan 29.

DOI:10.1136/postgradmedj-2020-139385
PMID:33514679
Abstract

This study aimed to analyse the degree of relative variation in speciality-specific competencies required for Certification of Completion of Training (CCT) set by the UK Joint Committee for Surgical Training (JCST) 2021 curriculum. Regulatory body guidance related to operative and non-operative surgical skill competencies required for CCT were analysed and compared. Wide inter-speciality variation was demonstrated in the minimum number of logbook cases (median 815; range 54 to 2100), indexed operations (8; 5 to 24) and procedure-based assessments (35; 6 to 110). Academic competencies related to peer-reviewed publications, communications to learned societies and audits were aligned at zero, zero and three across specialities, respectively. Mandatory courses have been standardised with Advanced Trauma Life Support being the sole pre-requisite CCT for all. JCST certification guidelines have broadly standardised competency domains, yet large discrepancies persist regarding operative indicative numbers and assessments. This article serves as a definitive CCT guide regarding prevailing changes.

摘要

本研究旨在分析英国联合外科培训委员会(JCST)2021 年课程规定的结业认证(CCT)所需专业特定能力的相对变化程度。分析和比较了与 CCT 相关的手术和非手术外科技能能力的监管机构指南。在日志记录案例的最低数量(中位数 815;范围 54 至 2100)、索引操作(8;5 至 24)和基于程序的评估(35;6 至 110)方面,各专业之间存在很大的差异。与同行评审出版物、向学术团体的交流和审计相关的学术能力分别在各个专业均为零、零和三对齐。强制性课程已经标准化,高级创伤生命支持是所有专业的唯一 CCT 先决条件。JCST 认证指南广泛地标准化了能力领域,但在手术指示数量和评估方面仍然存在很大差异。本文是关于现行变化的权威 CCT 指南。

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