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用于选拔住院医师的标准与住院医师培训期间表现之间的关系。

The relationship between criteria used to select residents and performance during residency.

作者信息

Papp K K, Polk H C, Richardson J D

机构信息

Department of Surgery, University of Louisville School of Medicine, Kentucky 40292, USA.

出版信息

Am J Surg. 1997 Apr;173(4):326-9. doi: 10.1016/s0002-9610(96)00389-3.

DOI:10.1016/s0002-9610(96)00389-3
PMID:9136789
Abstract

PURPOSE

Can data available at time of interview and evaluation predict level of performance during residency?

METHODS

General surgery residents were studied. Applicant information available prior to admission was used to predict performance during residency as measured by faculty judgment of residents' knowledge, technical skill, maturity and judgment, and overall ability.

RESULTS

No relationship was found between admission data and final evaluation (using Spearman's coefficient r(s) = 0.27; p = 0.13). We could not distinguish between the top 10 and the bottom 10 ranked residents on admission variables. Nine of the top 10 and 3 of the bottom 10 residents remained in general surgery. Performance on the American Board of Surgery In-Training Examination accounted for 37% of the variance in faculty grading (F(5,28;.05) = 3.26; P = 0.02).

CONCLUSIONS

Residents' interpersonal and technical skills and qualities of character may have a significant role in faculty perception of success during surgical residency. These qualities are not well reflected in candidates' credentials at admission.

摘要

目的

面试和评估时可得的数据能否预测住院医师培训期间的表现水平?

方法

对普通外科住院医师进行研究。入院前可得的申请人信息用于预测住院医师培训期间的表现,表现通过教员对住院医师的知识、技术技能、成熟度和判断力以及总体能力的评判来衡量。

结果

未发现入院数据与最终评估之间存在关联(使用斯皮尔曼系数r(s)=0.27;p = 0.13)。根据入院变量,我们无法区分排名前10位和后10位的住院医师。排名前10位的住院医师中有9位以及排名后10位的住院医师中有3位仍留在普通外科。美国外科委员会在职培训考试成绩占教员评分方差的37%(F(5,28;.05)=3.26;P = 0.02)。

结论

住院医师的人际和技术技能以及性格品质可能在教员对外科住院医师培训期间成功的认知中起重要作用。这些品质在候选人的入学资质中没有得到很好的体现。

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