一项针对泌尿外科住院医师的新型非临床技能课程的实施与评估。
Implementation and assessment of a novel non-clinical skills curriculum for urology residents.
作者信息
Sheetz Tyler, Diab Dinah, Scimeca Alicia, Bellows Fara, Sharp David S, Lee Cheryl T, Posid Tasha
机构信息
Department of Urology, The Ohio State University Wexner Medical Center, Columbus, OH, United States.
出版信息
Front Urol. 2023 Jun 13;3:1167966. doi: 10.3389/fruro.2023.1167966. eCollection 2023.
BACKGROUND
Urology is an increasingly competitive specialty that procures a highly selected and clinically excellent cohort of residents. However, other training needs such as leadership and professional development go underrecognized despite an identified need for formal training in these areas. The aim of this study was to implement, evaluate, and pilot a non-clinical skills curriculum, a novel individualized professional development workshop series, at a single institution.
METHODS
Eighteen urology residents (15/year, 3 graduates/year) participated in this study over the course of two academic years. A pre-curriculum needs assessment was completed by 15 residents in Year 1 for purposes of curriculum design. The curriculum itself was a series of 1-hour monthly workshops given by an expert speaker on topics relevant to healthcare delivery, leadership and career promotion across various contexts. Survey-based assessments tracked gains in subject knowledge and satisfaction via a pre-post test design.
RESULTS
The pre-curriculum needs assessment indicated that trainees desired additional instruction in non-clinical skills (ps>0.1) and endorsed formal teaching to ensure success in their future careers (p<0.001). Trainees reported pre- to post-curriculum gains across each individual learning topic (Mean=20%, p<0.001) with an aggregate increase in subject knowledge of 17% for senior residents and 21% for junior residents (p<0.001).
CONCLUSION
A non-clinical skills curriculum implemented as a pilot 'Hidden Curriculum' for urology trainees was feasible and resulted in significant gains in non-clinical subject knowledge. Workshops were highly rated and trainees reported high satisfaction with the curriculum.
背景
泌尿外科是一个竞争日益激烈的专业领域，它选拔出了一批经过严格筛选且临床能力出色的住院医师。然而，尽管已明确需要在领导力和职业发展等领域进行正规培训，但其他培训需求却未得到充分认识。本研究的目的是在单一机构实施、评估并试点一项非临床技能课程，即一个新颖的个性化职业发展工作坊系列。
方法
在两个学年的时间里，18名泌尿外科住院医师（每年15名，每年3名毕业生）参与了本研究。一年级的15名住院医师完成了课程前需求评估，以用于课程设计。该课程本身是由一位专家每月举办一系列时长为1小时的工作坊，主题涉及不同背景下的医疗服务、领导力和职业晋升。基于调查的评估通过前后测试设计跟踪了学科知识的增长和满意度。
结果
课程前需求评估表明，学员们希望获得非临床技能方面的额外指导（p>0.1），并认可正规教学以确保他们未来职业的成功（p<0.001）。学员们报告了每个学习主题在课程前后的知识增长（平均值=20%，p<0.001），高年级住院医师的学科知识总体增长了17%，低年级住院医师增长了21%（p<0.001）。
结论
作为泌尿外科住院医师试点“隐性课程”实施的非临床技能课程是可行的，并在非临床学科知识方面取得了显著增长。工作坊获得了高度评价，学员们对该课程表示高度满意。
Zotero 插件