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实施血管外科学委员会住院医师教育课程后血管外科学住院医师培训考试表现。

Vascular Surgery In-Training Examination performance following implementation of the Vascular Surgical Council on Resident Education curriculum.

机构信息

Division of Vascular Surgery, Department of Surgery, University of Washington, Seattle, WA.

Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, The Johns Hopkins Hospital, Baltimore, MD.

出版信息

J Vasc Surg. 2023 Aug;78(2):534-538. doi: 10.1016/j.jvs.2023.04.003. Epub 2023 Apr 8.

Abstract

OBJECTIVE

The Vascular Surgery Surgical Council on Resident Education (VSCORE) program is a standardized curriculum intended to prepare Vascular Surgery trainees for the annual Vascular Surgery In-Training Examination (VSITE). This study evaluated the performance of 0+5 and 5+2 Vascular Surgery trainees on the VSITE prior to and following implementation of the VSCORE curriculum.

METHODS

VSITE scores, measured as percentage of questions correct, were collected for Vascular Surgery trainees at a United States academic medical center between 2015 and 2022. The VSITE scores were compared for the periods prior to (2015-2021) and following (2022) implementation of the VSCORE curriculum.

RESULTS

Fifty-seven VSITE scores were evaluated, including 46 examinations completed prior to and 11 after the implementation of the VSCORE curriculum. The mean VSITE score across all training levels (post-graduate year [PGY] 1-7) increased significantly from 68.4% ± 1.5% prior to implementation of VSCORE curriculum to 76.5% ± 3.1% following implementation (P = .03). Two-way analysis of variance identified pre- and post-VSCORE implementation as a statistically significant categorical variable when residents were stratified into junior (PGY 1-2), senior (PGY 3-5), and fellow (PGY 6-7) training levels (P < .001). The mean change in score between consecutive years also increased following VSCORE implementation (14.1% ± 2.3%) compared with the pre-VSCORE era (5.7% ± 1.7%; P = .002) CONCLUSIONS: The implementation of the VSCORE curriculum at an academic medical center improved VSITE scores across vascular surgery trainees at all levels.

摘要

目的

血管外科学住院医师教育外科委员会(VSCORE)项目是一个标准化课程,旨在使血管外科学受训者为年度血管外科学住院医师考试(VSITE)做好准备。本研究评估了在实施 VSCORE 课程之前和之后,0+5 和 5+2 血管外科学受训者在 VSITE 上的表现。

方法

在美国学术医疗中心收集了 2015 年至 2022 年血管外科学受训者的 VSITE 分数,以正确问题的百分比表示。比较了在实施 VSCORE 课程之前(2015-2021 年)和之后(2022 年)的 VSITE 分数。

结果

评估了 57 个 VSITE 分数,包括在实施 VSCORE 课程之前完成的 46 次考试和之后完成的 11 次考试。所有培训水平(住院医师后 1 年[PGY]1-7)的平均 VSITE 分数从实施 VSCORE 课程前的 68.4%±1.5%显著增加到实施后的 76.5%±3.1%(P=0.03)。当将住院医师分为初级(PGY 1-2)、高级(PGY 3-5)和研究员(PGY 6-7)培训水平时,双因素方差分析确定了实施前后作为统计学上的分类变量(P<0.001)。与实施 VSCORE 之前相比(5.7%±1.7%;P=0.002),实施 VSCORE 后连续几年的分数变化平均值也有所增加(14.1%±2.3%)。

结论

在学术医疗中心实施 VSCORE 课程提高了各级血管外科学受训者的 VSITE 分数。

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