Preparedness for clinical practice - Reports of graduating residents at academic health centers
Preparedness for clinical practice - Reports of graduating residents at academic health centers
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DOI：
10.1001/jama.286.9.1027
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发表时间：
2001-09-05
影响因子：
120.7
通讯作者：
Weissman, JS
中科院分区：
文献类型：
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作者：
Blumenthal, D;Gokhale, M;Weissman, JS
背景医学教育工作者正在寻求更好的措施来评估住院医生在完成研究生医学教育时的临床能力。目的评估住院医生对他们在研究生医学教育的最后一年提供常见临床服务的看法。设计、设置和参与者1998年在美国学术卫生中心完成8个专业(内科、儿科、家庭实践、产科/妇科、普外科、整形外科、精神病学和麻醉学)培训的住院医生的全国性调查。共有2626名住院医生回答(应答率为65%)。主要结果衡量住院医生对他们准备好执行与其专业相关的临床和非临床任务的报告。结果所有专科的住院医生都认为自己准备好应对他们在临床职业生涯中遇到的大多数常见情况。然而，在每个专科中，超过10%的住院医生表示他们感觉没有准备好承担与其学科相关的一项或多项任务，例如护理人类免疫缺陷病毒/获得性免疫缺陷综合征或药物滥用患者(家庭实践)或疗养院患者(内科)；执行脊柱手术(骨科手术)或腹主动脉瘤修复术(普通外科)；以及管理慢性疼痛(麻醉学)。然而，在为住院医生的临床实践做准备方面，仍有改进的机会。
Context Medical educators are seeking improved measures to assess the clinical competency of residents as they complete their graduate medical education.Objective To assess residents' perceptions of their preparedness to provide common clinical services during their last year of graduate medical education.Design, Setting, and Participants A 1998 national survey of residents completing their training in 8 specialties (internal medicine, pediatrics, family practice, obstetrics/gynecology, general surgery, orthopedic surgery, psychiatry, and anesthesiology) at academic health centers in the United States. A total of 2626 residents responded (response rate, 65%).Main Outcome Measures Residents' reports of their preparedness to perform clinical and nonclinical tasks relevant to their specialties.Results Residents in all specialties rated themselves as prepared to manage most of the common conditions they would encounter in their clinical career. However, more than 10% of residents in each specialty reported that they felt unprepared to undertake 1 or more tasks relevant to their disciplines, such as caring for patients with human immunodeficiency virus/acquired immunodeficiency syndrome or substance abuse (family practice) or nursing home patients (internal medicine); performance of spinal surgery (orthopedic surgery) or abdominal aortic aneurysm repair (general surgery); and management of chronic pain (anesthesiology).Conclusions Overall, residents in their last year of training at academic health centers rate their clinical preparedness as high. However, opportunities for improvement exist in preparing residents for clinical practice.