Allar Benjamin G, Ortega Gezzer, Chun Maria B J, Rodriguez Jorge G Zarate, Mullen John T, Lynch Kenneth A, Harrington David T, Green Alexander R, Lipsett Pamela A, Britt L D, Haider Adil H, Smink Douglas S, Kent Tara S
Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts; Center for Surgery and Public Health, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Center for Surgery and Public Health, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
J Surg Educ. 2024 Mar;81(3):330-334. doi: 10.1016/j.jsurg.2023.11.018. Epub 2023 Dec 23.
The Provider Awareness and Cultural dexterity Toolkit for Surgeons (PACTS) curriculum was developed to improve surgical resident cultural dexterity, with the goal of promoting health equity by developing cognitive skills to adapt to individual patients' needs to ensure personal, patient-centered surgical care through structured educational interventions for surgical residents. Funded by the National Institute of Health (NIH)'s National Institute on Minority Health and Health Disparities, PACTS addresses surgical disparities in patient care by incorporating varied educational interventions, with investigation of both traditional and nontraditional educational outcomes such as patient-reported and clinical outcomes, across multiple hospitals and regions. The unique attributes of this multicenter, multiphased research trial will not only impact future surgical education research, but hopefully improve how surgeons learn nontechnical skills that modernize surgical culture and surgical care. The present perspective piece serves as an introduction to this multifaceted surgical education trial, highlighting the rationale for the study and critical curricular components such as key stakeholders from multiple institutions, multimodal learning and feedback, and diverse educational outcomes.
外科医生的提供者意识与文化灵活性工具包（PACTS）课程旨在提高外科住院医师的文化灵活性，其目标是通过培养认知技能以适应个体患者的需求，从而促进健康公平，通过为外科住院医师提供结构化教育干预措施，确保提供以患者为中心的个性化外科护理。由美国国立卫生研究院（NIH）的少数民族健康与健康差异研究所资助，PACTS通过纳入各种教育干预措施来解决患者护理中的外科差异，同时在多家医院和多个地区对患者报告的结果和临床结果等传统和非传统教育成果进行调查。这项多中心、多阶段研究试验的独特属性不仅将影响未来的外科教育研究，而且有望改善外科医生学习非技术技能的方式，从而使外科文化和外科护理现代化。本观点文章作为对这项多方面外科教育试验的介绍，强调了该研究的基本原理以及关键课程组成部分，如来自多个机构的关键利益相关者、多模式学习与反馈以及多样化的教育成果。
