Department of Obstetrics and Gynecology, University of Texas Southwestern Medical School, Dallas, Texas.
Department of Obstetrics and Gynecology, University of Texas Southwestern Medical School, Dallas, Texas.
J Surg Educ. 2022 Jul-Aug;79(4):1009-1015. doi: 10.1016/j.jsurg.2022.02.002. Epub 2022 Mar 14.
To describe the actual work-load and experience for first-time resident test takers preparing to meet the new high stakes cognitive and technical skills testing requirement for board certification in Obstetrics and Gynecology.
A retrospective observational study. Participating residents completed a 2 page questionnaire about their preparation for the exam. Results are reported in aggregate.
This study was conducted at the University of Texas Southwestern Medical Center, an academic medical school affiliated with both a private and public tertiary hospitals.
Residents in obstetrics and gynecology who have completed their Fundamentals of Laparoscopic Surgery (FLS) certification exam between September 1, 2018 and September 31, 2019. Thirty-three PGY-2 and PGY-3 residents completed the survey.
Participants spent an average of 6.7 ± 3.1 hours viewing online modules over an average of 3.6 ± 2.1 nonconsecutive days. Utilizing the campus simulation center, residents spent an average of 2.1 ± 2.1 hours on each of the 5 tasks to practice to the established proficiency score. Twenty-two out of 31 residents rated the ligating loop the easiest skill to master and 13/31 residents rated the precision cut the most difficult. The pass rate for the technical skills portion was 100% (33/33 residents) and for the cognitive portion was 93% (31/33 residents).
Our data suggest that residents spent upward of 10 hours practicing to proficiency on the simulation tasks, in addition to time spent watching FLS-provided training videos. The 100% pass rate for the technical skills portion at our program may be impacted by a required technical skills curriculum that residents must complete prior to registering for the FLS exam. Obstetrics and gynecology residents and training programs will benefit from understanding the time and resources required for first-time resident test takers preparing to take the Fundamentals of Laparoscopic Surgery exam.
描述首次参加住院医师考试的考生在准备妇产科委员会认证的新高风险认知和技术技能考试方面的实际工作量和经验。
回顾性观察研究。参与的住院医师填写了一份关于他们备考的 2 页问卷。结果以汇总形式报告。
本研究在德克萨斯大学西南医学中心进行，该医学中心是一家学术医学机构，与一家私立和一家公立的三级医院有关联。
2018 年 9 月 1 日至 2019 年 9 月 31 日期间完成基础腹腔镜手术（FLS）认证考试的妇产科住院医师。33 名 PGY-2 和 PGY-3 住院医师完成了调查。
参与者平均观看 6.7 ± 3.1 小时的在线模块，平均在 3.6 ± 2.1 个非连续日观看。利用校园模拟中心，住院医师在每个任务上平均花费 2.1 ± 2.1 小时，以达到既定的熟练分数。31 名住院医师中有 22 名认为结扎环最容易掌握，13 名住院医师认为精准切割最难掌握。技术技能部分的通过率为 100%（33/33 名住院医师），认知部分的通过率为 93%（31/33 名住院医师）。
我们的数据表明，除了观看 FLS 提供的培训视频外，住院医师还花费了超过 10 小时的时间在模拟任务上练习到熟练程度。我们项目中技术技能部分的 100%通过率可能受到住院医师在注册 FLS 考试之前必须完成的强制性技术技能课程的影响。妇产科住院医师和培训项目将受益于了解首次参加考试的住院医师备考基础腹腔镜手术考试所需的时间和资源。
