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《Neurocirugía (Asturias, Spain)》2023,34(2):53-59
IntroductionNational and international trends continue to show greater emphasis on endovascular techniques for the treatment of cerebrovascular disease. The cerebrovascular neurosurgeon however must be adequately equipped to treat these patients via both open and endovascular techniques.MethodsThe decline in open cerebrovascular cases for aneurysm clipping has forced many trainees to pursue open cerebrovascular fellowships to increase case volume. An alternative strategy has been employed at our institution, which is early identification of subspecialty focus with resident driven self-selection of open cerebrovascular cases.ResultsThis has allowed recent graduates to obtain enfolded endovascular training and a significant number of open cerebrovascular cases in order to obtain competence and exposure.DiscussionWe advocate for further self-selection paradigms supplemented with simulation training in order to obviate the need for extended post-residency fellowships. 相似文献
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美国毕业后医学教育认证委员会(Accreditation Council for Graduate Medical Education,ACGME)倡导以能力为基础的住院医师培训,其主要目标是培养职业医师所必须具备的能力,不断提高住院医师对患者的诊疗质量；其具体实施围绕6项核心能力的培养进行,贯穿于理论、临床和科研等各个方面. 相似文献
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重症医学是一门新兴学科,其临床教学研究尚处于起步阶段.非重症医学专业住院医师在重症医学科的临床培训工作与提高其综合技能密切相关.安徽医科大学第二附属医院重症医学科结合本专业的研究内容及学科特点,将非重症医学专业住院医师的培训重点放在加强基本技能、思维方式及人文修养等方面的训练上,在临床教学实践中取得了良好的效果. 相似文献
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上海市住院医师规范化培训师资队伍建设的研究 总被引：1，自引：0，他引：1
目的探索建立住院医师规范化培训师资培训制度，全面提高住院医师规范化培训质量和带教医师教学质量。方法采取文献复习、专家咨询、调查问卷、特尔菲法、关键绩效指标法。结果建立了带教医师准入制度、住院医师培训带教医师培训制度。结论为了确保住院医师规范化培训工作的顺利开展，规范住院医师培训过程管理，全面提高住院医师规范化培训质量和带教医师教学质量，必须建立相对统一的带教医师的准入标准和培训考核制度，以提高带教医师的综合素质。 相似文献
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Objective
To determine the association between provider training level and postplacental intrauterine device (IUD) outcomes following insertion instruction by email only.Study design
We conducted a single-center chart review of demographics, insertion and clinical outcomes within 6 months of delivery for 116 patients who underwent postplacental levonorgestrel 52?mg IUD placement from October 1, 2016, to March 31, 2017.Results
We confirmed IUD retention, removal or expulsion in 87 of 116 (75.0%) patients by 6 months after delivery. Complete expulsion or removal for malposition occurred in 20 (23.0%) patients and more frequently after vaginal than cesarean delivery (30.2% vs. 4.2%, OR 9.93 [95% CI 1.25–78.96]) and when a postgraduate year (PGY) 1 physician placed the IUD compared to a PGY 2–4 or attending physician (37.5% vs. 14.5%, OR 3.52 [95% CI 1.25–9.94]).Conclusion
Postplacental levonorgestrel 52?mg IUD expulsion rates are associated with provider training level as well as delivery route, though the individual association of each of these factors is difficult to ascertain given the high degree of collinearity between these two variables in our study. 相似文献10.
李琪英 《中华医学教育探索杂志》2011,10(4):459-461
麻醉相关技能培养是住院医师规范化培训的重要组成部分。内、外科住院医师在麻醉科培训期间，要重视其临床思维能力、术前评估能力、无菌观念和技术、心肺脑复苏技能以及团队协作能力的培养，同时应建立综合化和科学化的考核制度。 相似文献