Linde V J, Delroy M, Rasmussen H M, Klee M C, Kjaergaard J
Kirurgisk afdeling K, Bispebjerg Hospital, København.
Ugeskr Laeger. 1996 May 27;158(22):3144-8.
In order to investigate the educational value of trainee surgeons' work, all work done by trainees at a Department of Surgery was recorded in a prospective and consecutive way for four weeks. It was recorded as fixed categories divided into intervals of 15 minutes. The work could be classified in three dimensions: Character, educational value and geography. The youngest trainees performed routine work without educational value. They had some practical jobs which could be done by other personnel. The work did not fulfil the educational claims for a trainee surgeon in phase I. The second group of trainees performed much routine work without educational value. They had no practical jobs that could have been performed by non-doctors. They had some work with educational value but not enough to fulfil the goals of a trainee surgeon in phase II.
Doctors' clinical education could be improved by giving them work with educational value and supervision. Supervision should be performed by specialists who should also contribute to the routine work without educational value.
为了调查实习外科医生工作的教育价值,对某外科科室实习医生的所有工作进行了为期四周的前瞻性连续记录。记录分为固定类别,以15分钟为间隔。工作可从三个维度分类:性质、教育价值和地域。最年轻的实习生从事无教育价值的常规工作。他们有一些可由其他人员完成的实际工作。这些工作不符合第一阶段实习外科医生的教育要求。第二组实习生也从事大量无教育价值的常规工作。他们没有非医生也能完成的实际工作。他们有一些具有教育价值的工作,但不足以实现第二阶段实习外科医生的目标。
通过给医生安排具有教育价值的工作并提供监督,可以改善医生的临床教育。监督应由专家进行,专家也应参与无教育价值的常规工作。