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首页> 外文期刊>Journal of surgical education >Use of the Surgical Council on Resident Education (SCORE) curriculum as a template for evaluating and planning a program's clinical curriculum.
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Use of the Surgical Council on Resident Education (SCORE) curriculum as a template for evaluating and planning a program's clinical curriculum.

机译：使用居民教育外科理事会（SCORE）课程作为模板来评估和规划该课程的临床课程。

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BACKGROUND: The SCORE curriculum defines surgical operations/procedures that residents are expected to be competent with by the end of the residency. OBJECTIVE: The purpose of this study was to conduct a gap analysis to determine how well the operative experience in a general surgery residency program approximates the expectations of the SCORE curriculum, especially regarding those procedures considered essential to general surgical training. DESIGN: Setting/Participants: Final ACGME resident operative experience reports of recent Northwestern University general surgery program graduates (n = 15) were compared with the specific procedures and procedure levels (ie, Essential-Common, Essential-Uncommon, Complex) defined in the SCORE curriculum. The average numbers of individual SCORE procedures and procedures per SCORE procedure level performed per resident were summarized using descriptive statistics. RESULTS: During their 5 years of training general surgery residents logged a mean of 1025.7 (SD 152.9) primary procedures per resident. We were able to match 87.1% of these ACGME logged procedures with specific procedures identified in the SCORE curriculum. On average, of the Essential-common procedures, 23 (35%) were performed >10 times and 35 (53%) were performed >five times. Conversely, the number of Essential-uncommon and Complex procedures performed >five times were 3 (5%) and 10 (7%), respectively. Several procedures identified in the SCORE curriculum were performed at very low frequency during residency training. CONCLUSIONS: This experience suggests that leadership at SCORE and the ACGME need to make the curriculum and logging system compatible and that surgical residents need to be better educated with regards to case logging. Despite these issues, important differences appeared to exist between actual resident operative experiences and expectations set by the SCORE curriculum. Based on these finding we advocate that similar gap analyses be performed at other surgical residency training programs to identify discrepancies between program experience and SCORE curriculum expectations.
机译：背景：SCORE课程定义了到居民期末居民有望胜任的外科手术/程序。目的：本研究的目的是进行差距分析，以确定普通外科住院医师计划中的手术经验如何接近SCORE课程的期望，尤其是对于那些被视为常规外科手术培训必不可少的程序。设计：设置/参与者：将西北大学普通外科课程毕业生（n = 15）的最新ACGME住院医师最终手术经验报告与该标准中定义的特定程序和程序级别（即基本-常见，基本-罕见，复杂）进行比较。分数课程。使用描述性统计数据汇总了单个SCORE程序和每个居民在每个SCORE程序级别执行的程序的平均数量。结果：在接受普通外科手术培训的5年中，每位居民平均记录了1025.7（SD 152.9）个初级手术。我们能够将87.1％的这些ACGME记录程序与SCORE课程中确定的特定程序进行匹配。平均而言，在必要的常见程序中，执行23次（35％）> 10次，执行35次（53％）>​​ 5次。相反，执行五次以上的基本不常见和复杂过程的数量分别为3（5％）和10（7％）。在住院医师培训期间，SCORE课程中确定的几种程序的执行频率非常低。结论：这种经验表明，SCORE和ACGME的领导者需要使课程和测井系统兼容，并且需要对外科住院病人进行病例记录方面的更好的教育。尽管存在这些问题，SCORE课程设定的实际居民操作经验与期望之间似乎仍存在重要差异。基于这些发现，我们主张在其他外科住院医师培训计划中进行类似的差距分析，以识别计划经验与SCORE课程期望之间的差异。

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