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住院医师作为教师项目(RATP)对普通外科住院医师的效果:3 年实施效果评估。

Efficacy of a resident-as-teacher program (RATP) for general surgery residents: An evaluation of 3 Years of implementation.

机构信息

Department of Surgery, Boston Medical Center, Boston, MA, USA.

Department of Surgery, Boston Medical Center, Boston, MA, USA.

出版信息

Am J Surg. 2021 Dec;222(6):1093-1098. doi: 10.1016/j.amjsurg.2021.09.033. Epub 2021 Oct 2.

Abstract

BACKGROUND

Teaching is a responsibility of general surgery residents and formal teaching instruction is mandated. This study examines the efficacy of a formal RATP incorporated into our general surgery residency curriculum.

METHODS

The RATP was developed locally and delivered longitudinally over the course of the academic year, starting in 2017. Self-assessment surveys were distributed to residents before and after completion of the program each academic year. Medical students were surveyed regarding their impression of teaching on the surgical clerkship.

RESULTS

RATP data was collected annually. All sessions were highly rated. Residents reported improved teaching self-efficacy after participation. Medical student agreement with the statement 'Residents provided effective teaching during the [surgery] clerkship' increased from 68.6% prior to RATP implementation to 79.7% in the following years (p < 0.05).

CONCLUSIONS

Incorporation of a locally developed RATP improved residents' self-perceptions and medical student perception of residents as teachers. RATPs should be adopted widely.

摘要

背景

教学是普通外科住院医师的职责,需要进行正式的教学指导。本研究旨在评估将正式的 RATP 纳入普通外科住院医师课程中的效果。

方法

RATP 由本地开发,并在学术年中进行纵向教学,于 2017 年开始实施。每年在完成该项目前后,向住院医师分发自我评估调查。对实习医学生进行有关手术实习教学印象的调查。

结果

RATP 数据每年进行收集。所有课程的评价都很高。住院医师表示参与后教学自我效能感得到提高。医学生对“住院医师在[外科]实习期间提供了有效的教学”这一说法的认同度从 RATP 实施前的 68.6%增加到了随后几年的 79.7%(p<0.05)。

结论

采用本地开发的 RATP 可提高住院医师的自我认知和医学生对住院医师作为教师的认知。RATP 应广泛采用。

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