Lahey Hospital and Medical Center, Burlington, MA.
The Ohio State University College of Medicine, Columbus, OH.
Ann Surg. 2024 Oct 1;280(4):535-546. doi: 10.1097/SLA.0000000000006360. Epub 2024 May 29.
An expert panel made recommendations to optimize surgical education and training based on the effects of contemporary challenges.
The inaugural Blue Ribbon Committee (BRC I) proposed sweeping recommendations for surgical education and training in 2004. In light of those findings, a second BRC (BRC II) was convened to make recommendations to optimize surgical training considering the current landscape in medical education.
BRC II was a panel of 67 experts selected on the basis of experience and leadership in surgical education and training. It was organized into subcommittees which met virtually over the course of a year. They developed recommendations, along with the Steering Committee, based on areas of focus and then presented them to the entire BRC II. The Delphi method was chosen to obtain consensus, defined as ≥80% agreement among the panel. Cronbach α was computed to assess the internal consistency of 3 Delphi rounds.
Of the 50 recommendations, 31 obtained consensus in the following aspects of surgical training (# of consensus recommendation/# of proposed): Workforce (1/5); Medical Student Education (3/8); Work Life Integration (4/6); Resident Education (5/7); Goals, Structure, and Financing of Training (5/8); Education Support and Faculty Development (5/6); Research Training (7/9); and Educational Technology and Assessment (1/1). The internal consistency was good in Rounds 1 and 2 and acceptable in Round 3.
BRC II used the Delphi approach to identify and recommend 31 priorities for surgical education in 2024. We advise establishing a multidisciplinary surgical educational group to oversee, monitor, and facilitate implementation of these recommendations.
一个专家小组根据当代挑战的影响提出了优化外科教育和培训的建议。
首届蓝带委员会（BRC I）于 2004 年提出了全面的外科教育和培训建议。鉴于这些发现，成立了第二个 BRC（BRC II），考虑到医学教育的当前格局，提出了优化外科培训的建议。
BRC II 是一个由 67 名专家组成的小组，他们是根据在外科教育和培训方面的经验和领导能力挑选出来的。它分为小组委员会，这些小组委员会在一年的时间里通过虚拟方式开会。他们根据重点领域制定了建议，并与指导委员会一起提出，然后向整个 BRC II 提交。选择 Delphi 方法来获得共识，共识定义为小组中≥80%的人同意。计算 Cronbach α 以评估 3 轮 Delphi 的内部一致性。
在 50 项建议中，有 31 项在以下方面达成了共识外科培训 (# 共识建议/# 建议)：劳动力 (1/5)；医学生教育 (3/8)；工作生活整合 (4/6)；住院医师教育 (5/7)；培训的目标、结构和融资 (5/8)；教育支持和教师发展 (5/6)；研究培训 (7/9)；和教育技术和评估 (1/1)。在第 1 轮和第 2 轮，内部一致性良好，第 3 轮可以接受。
BRC II 使用 Delphi 方法确定并推荐了 2024 年外科教育的 31 项优先事项。我们建议成立一个多学科的外科教育小组来监督、监测和促进这些建议的实施。
