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研究生医学教育前的外科手术与外科培训:蓝带委员会II,医学生教育小组委员会报告。

Surgery and Surgical Training Before Graduate Medical Education: A Blue Ribbon Committee II, Medical Student Education Subcommittee Report.

作者信息

Alseidi Adnan A, Craver H William, Dennis Andrew J, Fingeret Abbey, Fried Gerald M, Mason Bonnie Simpson, Sudan Ranjan, Yang Stephen C, Ford Henri R

机构信息

Department of Surgery, University of California, San Francisco, CA.

Department of surgery, Philadelphia College of Osteopathic Medicine (PCOM), Philadelphia, PA.

出版信息

Ann Surg. 2025 Jan 1;281(1):7-10. doi: 10.1097/SLA.0000000000006455. Epub 2024 Jul 23.

DOI:10.1097/SLA.0000000000006455
PMID:39041208
Abstract

OBJECTIVE

To update and add to the first report commissioned by the Blue Ribbon Committee (BRC) about 20 years prior.

BACKGROUND

Following a summit in late 2022 commissioned by the American Board of Surgery regarding competency-based reforms in surgical education and through a partnership with the American College of Surgeons and other stakeholders, a BRC-II on surgical education was formed. The BRC-II would have 7 subcommittees. This paper details the work of the Medical Student Subcommittee within the BRC-II.

METHODS

The subcommittee's work, supported by staff from the American College of Surgeons, entailed a thorough literature review, which involved collating and aggregating the findings, identifying key challenges and opportunities, and committing to draft recommendations. These recommendations were then presented and refined through discussions with the BRC at large in multiple virtual and in-person settings.

RESULTS

The subcommittee's work is detailed below and further summarized in table format. The section below elucidates the medical student education continuum and discusses the pertinent topics of recruitment, surgical engagement in medical student training and the surgical image, training for the current surgical practice model, trainee selection for graduate medical education, and optimizing the transition from undergraduate medical education to graduate medical education.

CONCLUSIONS

The last 2 decades have shown significant changes and shifts in medical education and surgical practice. The findings of BRC-II in this manuscript help to structure the current and future necessary improvements, focusing on different aspects of medical student education.

摘要

目的

更新并补充约20年前由蓝丝带委员会(BRC)委托撰写的第一份报告。

背景

2022年末,美国外科委员会就外科教育中的基于能力的改革召开了一次峰会,并通过与美国外科医师学会及其他利益相关者的合作,成立了外科教育蓝丝带委员会二期(BRC-II)。BRC-II将设有7个小组委员会。本文详细介绍了BRC-II内医学生小组委员会的工作。

方法

在来自美国外科医师学会工作人员的支持下,该小组委员会的工作包括全面的文献综述,其中涉及整理和汇总研究结果、确定关键挑战和机遇,并致力于起草建议。然后,通过在多个虚拟和面对面场合与整个BRC进行讨论,对这些建议进行了介绍和完善。

结果

小组委员会的工作详情如下,并以表格形式进一步总结。以下部分阐述了医学生教育的连续过程,并讨论了招生、医学生培训中的外科参与和外科形象、当前外科实践模式的培训、毕业后医学教育的学员选拔以及优化从本科医学教育到毕业后医学教育的过渡等相关主题。

结论

过去20年里,医学教育和外科实践发生了重大变化和转变。本文中BRC-II的研究结果有助于构建当前和未来必要的改进措施,重点关注医学生教育的不同方面。

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