Division of Urology Rutgers New Jersey Medical School, Newark, NJ, 07103, USA.
East Orange Department of Surgery, Veteran Affairs New Jersey Healthcare System East Orange, East Orange, NJ, USA.
Curr Urol Rep. 2023 Jun;24(6):253-260. doi: 10.1007/s11934-023-01152-x. Epub 2023 Mar 14.
This paper aims to survey current literature on urologic graduate medical education focusing on surgical autonomy.
Affording appropriate levels of surgical autonomy has a key role in the education of urologic trainees and perceived preparedness for independent practice. Recent studies in surgical resident autonomy have demonstrated a reduction in autonomy for trainees in recent years. Efforts to advance the state of modern surgical training include creation of targeted curricula, enhanced with use of surgical simulation, and structured feedback. Decline in surgical autonomy for urology residents may influence confidence after completion of their residency. Further study is needed into the declining levels of urology resident autonomy, how it affects urologists entering independent practice, and what interventions can advance autonomy in modern urologic training.
本文旨在调查当前关于泌尿外科住院医师医学教育的文献，重点关注手术自主性。
给予适当水平的手术自主性是泌尿外科住院医师教育和对独立实践准备程度的关键。最近对外科住院医师自主性的研究表明，近年来住院医师的自主性有所降低。为了推进现代外科培训的发展，包括创建有针对性的课程，结合使用外科模拟和结构化反馈。泌尿外科住院医师手术自主性的下降可能会影响他们完成住院医师培训后的信心。需要进一步研究泌尿外科住院医师自主性水平下降的情况，它如何影响进入独立实践的泌尿科医生，以及哪些干预措施可以促进现代泌尿外科培训中的自主性。
