Autonomía y supervisión del residente de cirugía: ¿se cumplen las expectativas en el quirófano?

Educacion Medica

article

Luis Carlos Domínguez¹  Natalia Urueña¹  Álvaro Sanabria¹  Juan José Pepín¹  Manuel Mosquera²  Valentín Vega¹  Camilo Osorio¹ 

[1] Departamento de Cirugía, Universidad de La Sabana, Chía, Colombia;Departamento de Cirugía, Universidad de La Sabana, Chía, Colombia

关键词: Autonomy;    Supervision;    Medical education;    Surgery;    Zwisch scale;    Colombia;   

DOI  :  10.1016/j.edumed.2017.03.014

学科分类：社会科学、人文和艺术（综合）

来源: Fundacion Educacion Medica

【 摘 要 】

Introduction Effective supervision and gradual autonomy for surgical residents are important educational resources related to their future independent and safe practice. The aim of this study is to compare the perceptions about the supervision and autonomy that residents and the faculty have in the operating room, with reference to the standards defined in the curriculum. Methods The perceptions of residents and faculty were measured by using the Zwisch Scale. The 10 most frequently performed procedures were identified. The mean and standard deviations of the scale were calculated for each procedure. Resident and faculty perceptions were compared against the competency levels described in the curriculum by using independent ANOVAs ( PResults The main procedures were: cholecystectomy, appendectomy, abdominal wall hernia surgery, therapeutic peritoneal lavage, soft tissue surgery, exploratory laparotomy, central catheter insertion, chest tube insertion, diagnostic laparoscopy, and open colectomy. The main differences in the Zwisch Scale scores were found in advanced levels of residence training in procedures such as, cholecystectomy, appendectomy, and repair of abdominal wall hernias. Conclusion There is congruence between the perceptions of autonomy and supervision of surgical residents and faculty with regards to the curriculum in most procedures. Further adjustments are required in order to determine autonomy at advanced levels of the residency, which requires future research.

【 授权许可】

CC BY|CC BY-NC-ND