消化外科医师的成长与发展应该是双向的，即自己的主观努力和上级医师的指导、培养。该过程不变的核心概括为“3N”：即Never ignore responsibility（千万不要忽视自己的责任），Never too old and too much to learn（千万不要终止不...消化外科医师的成长与发展应该是双向的，即自己的主观努力和上级医师的指导、培养。该过程不变的核心概括为“3N”：即Never ignore responsibility（千万不要忽视自己的责任），Never too old and too much to learn（千万不要终止不断学习），Never forget the past，otherwise，would be condemned（千万不要忘记思考总结经验教训）。展开更多
Background: In recent years, we have established an entry-level Forward Surgical Team (FST) training program in a Chinese military medical university for the 5th grade undergraduates, who would be deployed to differen...Background: In recent years, we have established an entry-level Forward Surgical Team (FST) training program in a Chinese military medical university for the 5th grade undergraduates, who would be deployed to different military medical services as primary combat surgeons. This study aimed to assess the role of this pre-service training in improving their confidence with combat medical skills, after several years since they received the training. Methods: We conducted a nationwide survey of 239 primary combat surgeons who have ever participated in an entry-level FST training program before deployment between June 2016 and June 2020, which was for evaluating on a 5-point Likert scale the benefits of entry-level FST training and conventional surgery training in improving their confidence with combat medical skills. The difference in scores was compared using the student t-test. Significance was considered as P Results: The total score was significantly higher for entry-level FST training than that for conventional surgery training (30.76 ± 4.33 vs. 28.95 ± 4.80, P There was no significant difference between the training for surgical skills confidence scores (18.03 ± 8.04 vs. 17.51 ± 8.30, P = 0.098), but for non-technical skills, the score of entry-level FST training was significantly higher than that of conventional surgery training (12.73 ± 5.39 vs. 11.44 ± 5.62, P The distributions of confidence scores were different under various subgroups by demographics. There were no significant differences in scores between the two training in all specific surgical skill sets except “life-saving surgery” (P = 0.011). Scores of all 4 non-technical skill sets were significantly higher for entry-level FST than those for conventional surgery training (P Conclusions: The training should be considered as an essential strategy to improve confidence in combat medical skills, especially life-saving surgery and non-technical skills, for primary combat surgeons.展开更多
北京大学第一医院(Peking University First Hospital,PUFH)与加拿大皇家内科与外科医师学院(Royal College of Physicians and Surgeons of Canada,RCPSC)于2012年成立PUFH-RCPSC毕业后医学教育合作中心,开展胜任力导向的住院医师规范...北京大学第一医院(Peking University First Hospital,PUFH)与加拿大皇家内科与外科医师学院(Royal College of Physicians and Surgeons of Canada,RCPSC)于2012年成立PUFH-RCPSC毕业后医学教育合作中心,开展胜任力导向的住院医师规范化培训。北京大学第一医院于2019年获得RCPSC完全国际机构认证,成为中国目前唯一通过RCPSC国际机构认证的医院。期间,北京大学第一医院通过借鉴RCPSC的胜任力模型以及开展相应的师资培训、项目化管理等,将胜任力导向的理念融入到住院医师规范化培训工作的各个环节,为提升住院医师规范化培训的内涵建设、提高住院医师规范化培训质量进行了有益的探索。展开更多
文摘消化外科医师的成长与发展应该是双向的，即自己的主观努力和上级医师的指导、培养。该过程不变的核心概括为“3N”：即Never ignore responsibility（千万不要忽视自己的责任），Never too old and too much to learn（千万不要终止不断学习），Never forget the past，otherwise，would be condemned（千万不要忘记思考总结经验教训）。
文摘Background: In recent years, we have established an entry-level Forward Surgical Team (FST) training program in a Chinese military medical university for the 5th grade undergraduates, who would be deployed to different military medical services as primary combat surgeons. This study aimed to assess the role of this pre-service training in improving their confidence with combat medical skills, after several years since they received the training. Methods: We conducted a nationwide survey of 239 primary combat surgeons who have ever participated in an entry-level FST training program before deployment between June 2016 and June 2020, which was for evaluating on a 5-point Likert scale the benefits of entry-level FST training and conventional surgery training in improving their confidence with combat medical skills. The difference in scores was compared using the student t-test. Significance was considered as P Results: The total score was significantly higher for entry-level FST training than that for conventional surgery training (30.76 ± 4.33 vs. 28.95 ± 4.80, P There was no significant difference between the training for surgical skills confidence scores (18.03 ± 8.04 vs. 17.51 ± 8.30, P = 0.098), but for non-technical skills, the score of entry-level FST training was significantly higher than that of conventional surgery training (12.73 ± 5.39 vs. 11.44 ± 5.62, P The distributions of confidence scores were different under various subgroups by demographics. There were no significant differences in scores between the two training in all specific surgical skill sets except “life-saving surgery” (P = 0.011). Scores of all 4 non-technical skill sets were significantly higher for entry-level FST than those for conventional surgery training (P Conclusions: The training should be considered as an essential strategy to improve confidence in combat medical skills, especially life-saving surgery and non-technical skills, for primary combat surgeons.
文摘北京大学第一医院(Peking University First Hospital,PUFH)与加拿大皇家内科与外科医师学院(Royal College of Physicians and Surgeons of Canada,RCPSC)于2012年成立PUFH-RCPSC毕业后医学教育合作中心,开展胜任力导向的住院医师规范化培训。北京大学第一医院于2019年获得RCPSC完全国际机构认证,成为中国目前唯一通过RCPSC国际机构认证的医院。期间,北京大学第一医院通过借鉴RCPSC的胜任力模型以及开展相应的师资培训、项目化管理等,将胜任力导向的理念融入到住院医师规范化培训工作的各个环节,为提升住院医师规范化培训的内涵建设、提高住院医师规范化培训质量进行了有益的探索。
