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迈向共识。内科住院医师程序技能培训。

Toward consensus. Training in procedural skills for internal medicine residents.

作者信息

Greganti M A, McGaghie W C, Mattern W D

出版信息

Arch Intern Med. 1984 Jun;144(6):1177-9. doi: 10.1001/archinte.144.6.1177.

DOI:10.1001/archinte.144.6.1177
PMID:6732377
Abstract

The faculty, residents, and fellows of the Department of Medicine, University of North Carolina (UNC) School of Medicine, Chapel Hill, were surveyed about procedures that graduates of general internal medicine programs should be able to perform independently. More than 95% of the 177 respondents agreed that, of 71 procedures, all program graduates should be able to perform 13 without supervision. Our results are similar to those of studies at two other universities with geographically distant and philosophically different departments of medicine. The UNC faculty, fellows, and residents had significant differences of opinion on the need for training in 18 procedures. Residents tended to endorse training in the largest number of procedures, faculty the fewest, with fellows in between. The respondents' subspecialty affiliations did not influence their opinions on any of the procedural skills.

摘要

我们对北卡罗来纳大学教堂山分校医学院内科系的教员、住院医师和研究员进行了调查,询问他们关于普通内科项目毕业生应能够独立执行的操作。在177名受访者中,超过95%的人认为,在71项操作中,所有项目毕业生都应能够在无监督的情况下执行13项。我们的结果与另外两所大学的研究结果相似,这两所大学的医学院地理位置遥远,理念也不同。北卡罗来纳大学的教员、研究员和住院医师在18项操作的培训需求上存在显著的意见分歧。住院医师倾向于支持最多数量操作的培训,教员支持的最少,研究员则介于两者之间。受访者的亚专业归属并未影响他们对任何操作技能的看法。

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Toward consensus. Training in procedural skills for internal medicine residents.迈向共识。内科住院医师程序技能培训。
Arch Intern Med. 1984 Jun;144(6):1177-9. doi: 10.1001/archinte.144.6.1177.
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Procedural skills training in the internal medicine residency.内科住院医师培训中的操作技能训练
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A method for selecting which procedural skills should be learned by internal medicine residents.一种选择内科住院医师应学习哪些操作技能的方法。
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Optimum number of procedures required to achieve procedural skills competency in internal medicine residents.内科住院医师获得操作技能能力所需的最佳操作数量。
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Are commonly used resident measurements associated with procedural skills in internal medicine residency training?在内科住院医师培训中,常用的住院医师测评与操作技能相关吗?
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引用本文的文献

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Procedural experience and comfort level in internal medicine trainees.内科住院医师的操作经验和舒适度水平。
J Gen Intern Med. 2000 Oct;15(10):716-22. doi: 10.1046/j.1525-1497.2000.91104.x.
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The procedural and interpretive skills that third-year medicine clerks should master: views of medicine clerkship directors.医学三年级实习生应掌握的程序和解释技能:医学实习主任的观点。
J Gen Intern Med. 1991 Sep-Oct;6(5):469-71. doi: 10.1007/BF02598175.