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首页> 外文期刊>BMC Medical Education >Supervision and autonomy of ophthalmology residents in the outpatient Clinic in the United States: a survey of ACGME-accredited programs
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Supervision and autonomy of ophthalmology residents in the outpatient Clinic in the United States: a survey of ACGME-accredited programs

机译：美国门诊诊所的眼科住院医师的监督和自治：ACGME认可计划的调查

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Background The development and demonstration of incremental trainee autonomy is required by the ACGME. However, there is scant published research concerning autonomy of ophthalmology residents in the outpatient clinic setting. This study explored the landscape of resident ophthalmology outpatient clinics in the United States. Methods A link to an online survey using the QualtricsTM platform was emailed to the program directors of all 115 ACGME-accredited ophthalmology programs in the United States. Survey questions explored whether resident training programs hosted a continuity clinic where residents would see their own patients, and if so, the degree of faculty supervision provided therein. Metrics such as size of the resident program, number of faculty and clinic setting were also recorded. Correlations between the degree of faculty supervision and other metrics were explored. Results The response rate was 94%; 69% of respondents indicated that their trainees hosted continuity clinics. Of those programs, 30% required a faculty member to see each patient treated by a resident, while 42% expected the faculty member to at least discuss (if not see) each patient. All programs expected some degree of faculty interaction based upon circumstances such as the level of training of the resident or complexity of the clinical situation. 67% of programs that tracked the contribution of the clinic to resident surgical caseloads reported that these clinics provided more than half of the resident surgical volumes. More ? of resident clinics were located in urban settings. The degree of faculty supervision did not correlate to any of the other metrics evaluated. Conclusions The majority of ophthalmology resident training programs in the United States host a continuity clinic located in an urban environment where residents follow their own patients. Furthermore, most of these clinics require supervising faculty to review both the patients seen and the medical documentation created by the resident encounters. The different degrees of faculty supervision outlined by this survey might provide a useful guide presuming they can be correlated with validated metrics of educational quality. Finally, this study could provide an adjunctive resource to current international efforts to standardize ophthalmic residency education.
机译：背景技术ACGME需要开发和证明学员递增的自主权。但是，关于门诊患者在眼科患者中自主权的研究很少。这项研究探索了美国居民眼科门诊诊所的景观。方法将通过QualtricsTM平台进行的在线调查的链接通过电子邮件发送给美国所有115个获得ACGME认证的眼科计划的计划负责人。调查问题探讨了居民培训计划是否开设了一个连续性诊所，居民可以在那里看望自己的病人，如果是这样，还可以在其中提供教师的监督程度。还记录了住院医师人数，教职人数和诊所设置等指标。探索了教师监督程度与其他指标之间的关系。结果回应率为94％。 69％的受访者表示，他们的受训人员开设了连续性诊所。在这些计划中，有30％要求教职人员去看望居民治疗的每位患者，而42％的期望教职人员至少要讨论（如果没看见）每位患者。所有计划都希望根据情况（例如住院医师的培训水平或临床情况的复杂性）进行一定程度的教师互动。跟踪该诊所对住院手术量的贡献的计划中有67％报告说，这些诊所提供了超过一半的住院手术量。更多 ？的居民诊所位于城市环境中。教师监督程度与评估的其他任何指标均不相关。结论在美国，大多数眼科住院医师培训计划都在城市环境中开设了一个连续性诊所，居民可以在这里跟随自己的病人。此外，这些诊所中的大多数都需要督导人员来审查所见的患者和居民遭遇的医疗记录。假设调查可以与经过验证的教育质量指标相关联，那么本次调查概述的不同程度的教师监督可能会提供有用的指导。最后，该研究可以为当前国际上标准化眼科住院医师教育的努力提供辅助资源。

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