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“第一接触”课程——全国性培训营对向外科住院医师阶段过渡的影响

First Touch course-the impact of a nation-wide boot camp on the transition to Surgical residency.

作者信息

Reis Sofia Gaspar, Gonçalves Mário Rui, Azevedo Constança, Ruivo Ana, Guidi Gonçalo, Marinho Ricardo, Teles Joana Pinto, Domingos Ana Sofia, Borges André Luís, Quintas Filipe Rodrigues, Miranda Liliana Grilo, Oliveira António, de Matos José Novo

机构信息

Unidade Local de Saúde do Arco Ribeirinho - Hospital do Barreiro, Barreiro, Portugal.

Faculty of Health Sciences, Academic Clinical Center of Beiras, University of Beira Interior, Av. Infante D. Henrique, Covilhã, Portugal.

出版信息

Updates Surg. 2025 Jun 30. doi: 10.1007/s13304-025-02265-3.

DOI:10.1007/s13304-025-02265-3
PMID:40587028
Abstract

Surgical residents face numerous challenges and undergo significant changes at the beginning of their residency. Although there are several courses throughout residency, it is difficult to address all of them in a single activity. Boot camps (BC) have been a way for easing this transition period. Our team developed the "First Touch Course" boot camp in 2017 to join all residents of the same year, before they initiate Surgical residency. Since then, 8 editions have been organised (one per year) with the participation of a total of 481 residents. Eighty-four residents have enrolled in the last two editions, mainly from General Surgery, Gynecology and Urology. The present study analysed the 2023 and 2024 editions to evaluate the impact of this BC on residents' preparedness and confidence to face residency. More than 71% of the participants rated the course as excellent and 100% considered it exceeded their expectations. Almost 100% considered it will have a significant impact and more than 75% felt better prepared to start residency after the course. More than 73% believe that having a laparoscopic simulator will be useful for continuous skills acquisition. This is the first nationwide, multi-speciality boot camp that promotes continuing education, providing each resident with a personal laparoscopy simulator and laparoscopic instruments, allowing for home-based training. This study highlights the importance and impact of this kind of boot camps in preparing residents for the early stages of surgical residency and the impact it may have on basic skills acquisition.

摘要

外科住院医师在住院医师培训初期面临诸多挑战,且会经历重大变化。尽管在整个住院医师培训期间有几门课程,但很难在一次活动中涵盖所有内容。新兵训练营(BC)一直是缓解这一过渡期的一种方式。我们的团队在2017年开发了“首次接触课程”新兵训练营,让同一年的所有住院医师在开始外科住院医师培训之前参加。从那时起,已经组织了8期(每年一期),共有481名住院医师参与。在最近两期,有84名住院医师报名参加,主要来自普通外科、妇科和泌尿外科。本研究分析了2023年和2024年的课程,以评估该新兵训练营对住院医师面对住院医师培训的准备情况和信心的影响。超过71%的参与者将该课程评为优秀,100%的人认为它超出了他们的预期。几乎100%的人认为它将产生重大影响,超过75%的人觉得在参加课程后为开始住院医师培训做好了更充分的准备。超过73%的人认为拥有腹腔镜模拟器对持续技能获取会有用。这是全国首个促进继续教育的多专业新兵训练营,为每位住院医师提供个人腹腔镜模拟器和腹腔镜器械,便于在家中进行培训。这项研究凸显了这类新兵训练营在让住院医师为外科住院医师培训早期阶段做好准备方面的重要性和影响,以及它可能对基本技能获取产生的影响。

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设计、实施和评估基础外科技能训练营:提高外科住院医师培训能力的有效方法。
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