Willis J B, Burchell D J, Hanson C M
J Med Educ. 1983 Aug;58(8):648-54. doi: 10.1097/00001888-198308000-00007.
The study reported here represented a preliminary evaluation of the accreditation criteria for orthopedic operative procedures. Because selection of the criteria has not been guided by empirical data, the extent to which they accurately reflect resident clinical experience is of concern. To examine this question, residents in an orthopedic residency program were tracked for one year, and their activities were compared with the procedure requirements established by the Residency Review Committee (RRC) for Orthopaedic Surgery. The results indicated that the RRC categories unduly emphasized activities for which there was little patient demand and failed to distinguish or require some frequently performed procedures. In their present form, therefore, the designated categories were not found to cover adequately the content of current clinical practice and thus may not appropriately reflect educational needs.
此处报告的研究是对骨科手术操作认证标准的初步评估。由于这些标准的选择并非基于实证数据，它们在多大程度上准确反映住院医师的临床经验令人担忧。为了探讨这个问题，对一个骨科住院医师培训项目的住院医师进行了为期一年的跟踪，并将他们的活动与骨科手术住院医师评审委员会（RRC）制定的操作要求进行了比较。结果表明，RRC的类别过度强调了那些患者需求很少的活动，并且未能区分或要求一些经常执行的操作。因此，就其目前的形式而言，指定的类别并未被发现能够充分涵盖当前临床实践的内容，因而可能无法恰当地反映教育需求。
