The Effectiveness of a Cognitive Task Analysis Informed Curriculum to Increase Self-Efficacy and Improve Performance for an Open Cricothyrotomy
The Effectiveness of a Cognitive Task Analysis Informed Curriculum to Increase Self-Efficacy and Improve Performance for an Open Cricothyrotomy
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DOI：
10.1016/j.jsurg.2011.05.007
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发表时间：
2011-09-01
影响因子：
2.9
通讯作者：
Sullivan, Maura
中科院分区：
文献类型：
--
作者：
Campbell, Julia;Tirapelle, Leslie;Sullivan, Maura
目的：本研究探讨了认知任务分析（CTA）课程对医学生和研究生外科住院医师学习如何进行开放式环甲环切开术的手术技能、表现和自我效能感信念的影响。方法：将三年级医学生、研究生二年级和三年级外科住院医师随机分为CTA组（n = 12）和对照组（n = 14）。CTA组使用CTA课程学习开放式环甲环切开术。对照组接受传统课程。结果：CTA组以19分的检查表评分（CTA平均评分：17.75，标准差[SD] = 2.34；对照平均评分：15.14,SD = 2.48; p = 0.006）显著优于对照组。基于140分的自我评价量表，CTA组的自我效能得分也显著提高（CTA平均得分：126.10,SD = 16.90；对照组：110.67,SD = 16.8; p = 0.029）。结论：CTA课程在提高外科住院医师研究生和医学生进行开放式环甲环切开术的绩效和自我效能评分方面是有效的。（中华外科杂志68:403-407）(C) 2011年外科项目主任协会。Elsevier Inc.出版。版权所有。)
OBJECTIVE: This study explored the effects of a cognitive task analysis (CTA)-informed curriculum to increase surgical skills performance and self-efficacy beliefs for medical students and postgraduate surgical residents learning how to perform an open cricothyrotomy.METHODS: Third-year medical students and postgraduate year 2 and 3 surgery residents were assigned randomly to either the CTA group (n = 12) or the control group (n = 14). The CTA group learned the open cricothyrotomy procedure using the CTA curriculum. The control group received the traditional curriculum.RESULTS: The CTA group outperformed the control group significantly based on a 19-point checklist score (CTA mean score: 17.75, standard deviation [SD] = 2.34; control mean score: 15.14, SD = 2.48; p = 0.006). The CTA group also reported significantly higher self-efficacy scores based on a 140-point self-appraisal inventory (CTA mean score: 126.10, SD = 16.90; control: 110.67, SD = 16.8; p = 0.029).CONCLUSIONS: The CTA curriculum was effective, in increasing the performance and self-efficacy scores for postgraduate surgical residents and medical students performing an open cricothyrotomy. (J Surg 68:403-407. (C) 2011 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.)