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耳鼻喉科-头颈外科住院医师领导力培训课程:范围综述。

Leadership Training Curriculum for Otolaryngology-Head and Neck Surgery Residents: A Scoping Review.

机构信息

Department of Otolaryngology-Head & Neck Surgery, University of California, San Francisco, California, USA.

San Francisco School of Medicine, University of California, San Francisco, California, USA.

出版信息

Otolaryngol Head Neck Surg. 2023 Dec;169(6):1436-1444. doi: 10.1002/ohn.478. Epub 2023 Aug 9.

Abstract

OBJECTIVE

Otolaryngologists take on various leadership roles throughout their daily practice, but specific training focused on leadership development during otolaryngology-head and neck surgery (OHNS) residency is not well-defined. This project explores the current state of leadership curricula for OHNS residents.

DATA SOURCES

Google Scholar, Embase, PubMed, and MedEdPORTAL.

REVIEW METHODS

A scoping review was performed on English-language, full-text, peer-reviewed articles that describe leadership curricula for OHNS residents. Investigators reviewed curriculum settings, content, delivery methods, and assessment; curriculum effectiveness was evaluated using Kirkpatrick effectiveness scores and article quality was assessed using the Best Evidence in Medical Education (BEME) index.

CONCLUSION

Three thousand four hundred sixteen articles met search criteria, 198 articles were included for full-text review, and 4 articles met inclusion criteria. Curriculum content and delivery methods were diverse. Curriculum cadence ranged from 2-day immersion trainings to year-long longitudinal programs. Only one of the included studies utilized a needs assessment to inform curriculum development. Two articles achieved Kirkpatrick effectiveness scores of 2, indicating changes in the attitudes or perceptions among participants and a quality measure of 3, indicating clear conclusions drawn from the results.

IMPLICATIONS FOR PRACTICE

The current state of leadership training in OHNS residency is limited and nonuniform. These data align with descriptions of leadership training in other surgical residencies which are reported as heterogenous and lacking in effectiveness. This review highlights the need for standardized leadership training for OHNS residents. The high-quality leadership development initiatives within graduate medical education are reviewed to inform future directions for effective curriculum development and assessment.

摘要

目的

耳鼻喉科医生在日常实践中承担着各种领导角色,但针对耳鼻喉头颈外科学(OHNS)住院医师领导力发展的具体培训尚未明确界定。本项目旨在探讨 OHNS 住院医师领导力课程的现状。

资料来源

Google Scholar、Embase、PubMed 和 MedEdPORTAL。

研究方法

对描述 OHNS 住院医师领导力课程的英文全文同行评审文章进行了范围性回顾。研究人员对课程设置、内容、教学方法和评估进行了审查;使用 Kirkpatrick 效果评分评估课程效果,使用最佳证据医学教育(BEME)指数评估文章质量。

结论

符合搜索标准的文章有 3416 篇,其中有 198 篇文章进行了全文审查,最终有 4 篇文章符合纳入标准。课程内容和教学方法多种多样。课程节奏从为期 2 天的沉浸式培训到为期 1 年的纵向课程。只有一项纳入的研究使用了需求评估来为课程开发提供信息。有两篇文章的 Kirkpatrick 效果评分达到 2 分,这表明参与者的态度或看法发生了变化,且质量评分为 3 分,这表明从结果中得出了明确的结论。

实践意义

目前 OHNS 住院医师领导力培训的现状有限且不统一。这些数据与其他外科住院医师领导力培训的描述一致,这些描述表明培训是多样化的,且缺乏有效性。本综述强调了为 OHNS 住院医师提供标准化领导力培训的必要性。回顾了研究生医学教育中高质量的领导力发展举措,以确定未来有效课程开发和评估的方向。

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