Massachusetts General Hospital, Harvard School of Dental Medicine, Boston, MA, USA.
Oral Maxillofac Surg Clin North Am. 2022 Nov;34(4):505-513. doi: 10.1016/j.coms.2022.03.012. Epub 2022 Oct 9.
The goal of graduate surgical education is to ensure that the graduate is competent to practice in his or her chosen specialty. Traditionally, surgical learning has been based on an apprenticeship model; that is, the long-term observation and assessment of the trainee over a prolonged period of time. Patient expectations, work hour restrictions, and expectations of increased faculty oversight have led to decreased resident autonomy and independence. Graduates completing surgical training with less surgical autonomy may have lower clinical competence, which may affect patient safety, patient outcomes, and career satisfaction. This will require the modification of current assessment and training methods.
研究生外科教育的目标是确保毕业生能够胜任其所选专业的实践工作。传统上，外科学习基于学徒模式，即对学员进行长期的观察和评估。患者的期望、工作时间限制以及对教员更多监督的期望导致住院医师的自主权和独立性降低。完成外科培训的毕业生自主权较低，其临床能力可能较低，这可能会影响患者的安全、治疗结果和职业满意度。这将需要修改当前的评估和培训方法。
