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美国外科医师委员会住院医师培训考试调查分析

Survey analysis of the American Board of Surgery In-Training Examination.

作者信息

Abdu R A

机构信息

Department of Surgery, Northeastern Ohio Universities College of Medicine, Rootstown, USA.

出版信息

Arch Surg. 1996 Apr;131(4):412-6. doi: 10.1001/archsurg.1996.01430160070013.

DOI:10.1001/archsurg.1996.01430160070013
PMID:8615728
Abstract

OBJECTIVE

To determine how other program directors use the American Board of Surgery In-Training Examination (ABSITE) scores in the resident evaluation process.

DESIGN

A cover letter and a printed one-page survey of eight questions about individual residency programs, the use of ABSITE scores in the evaluation process, minimum score for advancement, and actions taken, if any, for failure to meet required scores; space was provided for comments.

SETTING

Two hundred seventy directors of surgical residency programs.

PARTICIPANTS

Two hundred thirty-one (86%) directors of general surgery residency programs.

MAIN OUTCOME MEASURES

The responses received in this questionnaire were similar to those received in the 1983 survey given by the American Board of Surgery.

RESULTS

The majority of directors require their residents to take the ABSITE, but they differ greatly in their methods to retain or dismiss a resident, to evaluate the program and the cognitive knowledge of the residents, and to measure resident performance.

CONCLUSIONS

The actions taken by program directors in their use of ABSITE scores vary widely, with a noticeable difference found when comparing the methods between the university and community hospital directors. Our survey findings show that there is still no uniform standard or agreement as to how the scores should be used, even though the ABSITE has been in existence for 20 years.

摘要

目的

确定其他项目主任在住院医师评估过程中如何使用美国外科委员会住院医师培训考试(ABSITE)成绩。

设计

一封附函以及一份打印的一页纸调查问卷,包含八个关于各个住院医师培训项目、评估过程中ABSITE成绩的使用、晋级的最低分数以及未达到要求分数时采取的措施(如有)的问题;还提供了评论空间。

地点

270名外科住院医师培训项目主任。

参与者

231名(86%)普通外科住院医师培训项目主任。

主要观察指标

本次问卷调查收到的回复与美国外科委员会1983年调查收到的回复相似。

结果

大多数主任要求其住院医师参加ABSITE考试,但在留用或辞退住院医师、评估项目和住院医师的认知知识以及衡量住院医师表现的方法上差异很大。

结论

项目主任在使用ABSITE成绩时采取的行动差异很大,比较大学医院和社区医院主任的方法时发现明显不同。我们的调查结果表明,尽管ABSITE已经存在20年,但对于如何使用这些成绩仍没有统一的标准或共识。

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