有导师指导的骨科住院医师比没有导师指导的住院医师报告称，他们在理论和实践准备方面的自我评估更高。

Orthopaedic surgery residents with a mentor report greater self-assessed theoretical and practical preparedness than residents without a mentor.

机构信息

Department of Sports Orthopaedics, Technical University of Munich, Munich, Germany.

Department of Orthopedics and Trauma Surgery, Medical University of Vienna, Vienna, Austria.

出版信息

Knee Surg Sports Traumatol Arthrosc. 2024 Nov;32(11):2720-2724. doi: 10.1002/ksa.12464. Epub 2024 Sep 29.

DOI:10.1002/ksa.12464

PMID:39342495

Abstract

PURPOSE

The purpose of the study was to investigate the effect of mentorship on self-perceived theoretical and practical skill levels of German-speaking residents affiliated to a scientific society with a focus on sports medicine. It was hypothesized that orthopaedic surgery residents with a mentor would report higher subjective theoretical and practical skills and less apprehension towards performing surgeries unsupervised compared to those without mentors.

METHODS

A 35-item questionnaire was distributed among resident members of AGA-Society for Arthroscopy and Joint-Surgery. The survey explored the current status of mentoring and self-assessed theoretical and practical skill levels as well as apprehension towards performing surgeries unsupervised (1-10 scale with higher values indicating higher skill level or greater apprehension).

RESULTS

In total, 115 residents were included, of which 46 (40.0%) had a mentor. The majority of residents without a mentor (65.7%) reported the desire to have a mentor. Residents with a mentor reported significantly higher self-assessed theoretical (p = 0.003) and practical skill levels (p < 0.001) and less apprehension towards performing surgeries unsupervised (p < 0.001) compared to residents without a mentor. The presence of formal mentorship programs increased the likelihood of having a mentor significantly (odds ratio [OR] 7.17, p < 0.001). Male and female participants did not differ significantly in self-assessed skill level or apprehension towards performing surgeries unsupervised.

CONCLUSION

Residents with a mentor reported greater subjective skill levels and stated less apprehension towards performing surgeries unsupervised compared to residents without a mentor. The majority of residents without a mentor stated that they would like to have a mentor. This may be achieved by establishing more formal mentorship programs as they facilitate mentorship.

LEVEL OF EVIDENCE

Level IV, cross-sectional study.

摘要

目的

本研究旨在调查指导对德语国家骨科运动医学住院医师自我感知理论和实践技能水平的影响。研究假设带教医师的住院医师比没有带教医师的住院医师报告更高的主观理论和实践技能水平，以及对非监督手术的更少担忧。

方法

AGA-关节镜与关节外科学会的住院医师成员被发放了一份 35 项的调查问卷。该调查研究了指导的现状以及自我评估的理论和实践技能水平，以及对非监督手术的担忧程度（1-10 分制，分值越高表示技能水平越高或担忧越大）。

结果

共有 115 名住院医师被纳入研究，其中 46 名（40.0%）有导师。大多数没有导师的住院医师（65.7%）表示希望有导师。与没有导师的住院医师相比，有导师的住院医师报告的自我评估理论（p=0.003）和实践技能水平（p<0.001）更高，对非监督手术的担忧（p<0.001）更小。正式指导计划的存在显著增加了有导师的可能性（优势比[OR]7.17，p<0.001）。男性和女性参与者在自我评估技能水平或对非监督手术的担忧方面没有显著差异。