Sierpina V S, Volk R J
Department of Family Medicine, University of Texas Medical Branch at Galveston, USA.
Fam Med. 1998 Jun;30(6):421-3.
The processes of teaching outpatient procedures in the training of primary care physicians have not been widely studied or standardized. This study identified the most widely used teaching settings, methods of evaluation, and barriers to teaching several key procedures in US family practice residencies.
A survey was sent to directors of family practice residency programs. Key issues identified in phone survey data of published experts in procedural training were used in developing the survey.
Of the 464 residency directors contacted, 342 (73.7%) returned completed surveys. Results showed that the family practice center (FPC) was the most common setting for this teaching. Faculty observation was used as a principal evaluation method in most programs for all procedures. Several barriers to training were identified as "very" or "moderately" important.
While the FPC is the most frequently used setting for training in procedures, significant limitations include problems of low volume, limited methods of evaluation, scheduling difficulties, and lack of faculty interest and skill. Several internal and external strategies may be used to alleviate these problems.
在初级保健医生培训中，门诊手术教学流程尚未得到广泛研究或标准化。本研究确定了美国家庭医学住院医师培训中，几种关键手术最常用的教学环境、评估方法及教学障碍。
向家庭医学住院医师培训项目主任发送了一份调查问卷。在对已发表的程序培训专家进行电话调查数据中确定的关键问题，被用于制定该调查问卷。
在联系的464位住院医师培训项目主任中，342位（73.7%）返回了完整的调查问卷。结果显示，家庭医学中心（FPC）是这种教学最常见的环境。在大多数项目中，所有手术的主要评估方法都是教员观察。几个培训障碍被确定为“非常”或“相当”重要。
虽然FPC是手术培训最常用的环境，但显著的局限性包括病例数量少、评估方法有限、排班困难以及教员缺乏兴趣和技能等问题。可以采用几种内部和外部策略来缓解这些问题。
