Murray G F, Jones D R, Stritter F T
Department of Surgery, West Virginia University, Morgantown 26506-9238, USA.
Ann Thorac Surg. 1995 Oct;60(4):877-84; discussion 885-7. doi: 10.1016/0003-4975(95)00667-a.
The Comprehensive Thoracic Surgery Curriculum was developed to provide program directors with a basis for planning instruction and evaluating residents, program practices, and outcomes. A survey design was selected to obtain opinions about the curriculum from a large group of people, ie, all program directors and all active residents.
Two parallel instruments were developed: one to be completed by program directors and one to be completed by active residents. Responses were collated for directors and residents, entered into a computerized database, and compared using the chi 2 statistic.
A response rate of 93% was obtained from the directors and 79% from the residents. The survey demonstrates broad-based support for a comprehensive curriculum by the respondents. Current perceptions of and expectations for the curriculum are diverse and regionalized. Serious concerns are expressed about quality issues and particularly the environment for residency education.
The thoughtful responses of our colleagues will guide leaders who will implement the curriculum for thoracic surgery. Strategies for change will necessarily focus on the prerequisite curriculum.
制定胸外科综合课程是为了给项目主任提供规划教学以及评估住院医师、项目实践和结果的基础。选择调查设计以从一大群人，即所有项目主任和所有在职住院医师那里获取关于该课程的意见。
开发了两个并行的工具：一个由项目主任完成，另一个由在职住院医师完成。整理主任和住院医师的回复，输入计算机化数据库，并使用卡方统计量进行比较。
主任的回复率为93%，住院医师的回复率为79%。调查表明受访者对综合课程给予了广泛支持。目前对该课程的看法和期望是多样的且存在地区差异。对质量问题，尤其是住院医师教育环境表达了严重关切。
我们同事深思熟虑的回复将指导实施胸外科课程的领导者。变革策略必然会聚焦于预科课程。
