Department of Surgery, Rush University Medical Center, Chicago, Illinois.
Department of Surgery, Division of Abdominal Transplantation, Rush University Medical Center, Chicago, Illinois.
J Surg Educ. 2023 Jun;80(6):884-891. doi: 10.1016/j.jsurg.2023.02.018. Epub 2023 Mar 24.
Our objective was to evaluate the outcome of a training program on long-term confidence of interns and attending physicians.
In this prospective cohort study, general surgery interns underwent a training program on informed consent that involved didactics, standardized patient encounters, and supplemental procedure specific guides at the start of the academic year. At the end of the academic year, we surveyed interns from the classes of 2020 (trained) and 2019 (untrained) about their experience and confidence in obtaining an informed consent. Further, we queried attending physicians on their experience and confidence in the interns at the end of each academic year.
Single academic general surgery residency program based at 2 urban tertiary hospitals.
General surgery interns including unmatched preliminary residents and categorical interns from general surgery, interventional radiology, and urology.
Twenty-four incoming interns participated in the training program. Intern confidence discussing operation benefits improved from a median score of 4 to 5 (p = 0.03), and total confidence improved from a median score of 15 to 17.5 (p = 0.08). There was no difference in median total confidence scores (15 vs. 17.5; p = 0.21) between classes. Attending physicians had similar median total confidence scores following intervention (10 vs. 11; p = 0.87). Intern satisfaction was 80% with the didactic session, and 90% with standardized patient encounters. Twenty percent of learners used the supplemental procedure specific guides.
Implementation of an intern targeted program on informed consent that incorporated didactics and standardized patient encounters was viewed as useful and may contribute to long-term improvements in confidence.
评估一项针对实习医生和主治医生长期信心的培训计划的结果。
在这项前瞻性队列研究中，普通外科实习医生在学年开始时接受了一项关于知情同意的培训计划，该计划包括理论教学、标准化患者就诊和补充特定程序指南。在学年结束时，我们调查了来自 2020 级（受过培训）和 2019 级（未受过培训）的实习医生，了解他们在获得知情同意方面的经验和信心。此外，我们在每个学年结束时询问主治医生对实习医生的经验和信心。
基于 2 家城市三级医院的单一学术普通外科住院医师培训计划。
普通外科实习医生，包括未配对的初步住院医师和普通外科、介入放射学和泌尿科的分类住院医师。
共有 24 名新入职的实习医生参加了培训计划。实习医生讨论手术益处的信心从中位数 4 分提高到 5 分（p=0.03），总信心从中位数 15 分提高到 17.5 分。两个年级的总信心中位数评分（15 分与 17.5 分；p=0.21）无差异。干预后主治医生的总信心中位数评分也相似（10 分与 11 分；p=0.87）。实习医生对理论课的满意度为 80%，对标准化患者就诊的满意度为 90%。20%的学习者使用了补充特定程序指南。
实施一项针对实习医生的知情同意培训计划，包括理论教学和标准化患者就诊，被认为是有用的，并可能有助于长期信心的提高。
