脱离联系：一项全国性的普外科住院医师混合方法电子学习需求评估

IF 2.6 3区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Surgical Education Pub Date : 2025-04-19 DOI:10.1016/j.jsurg.2025.103514

Joshua A. Roshal MD , Sarah Lund MD , Joseph C. L'Huillier MD, MS-HPEd , Caitlin Silvestri MD , John M. Woodward MD , Connie Gan MD , Rebecca Moreci MD , Darian L. Hoagland MD , Colleen E. McDermott MD, MPH , Ananya Anand MD , Kathleen Everling PhD , V Suzanne Klimberg MD, PhD, MSHCT, FACS, MAMSE , Alexander Perez MD, MSHCT, FACS

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引用次数: 0

摘要

数字时代已经改变了卫生专业教育，使得在线学习（e-learning）对教学、评估和评价至关重要。然而，普通外科住院医师对目前的研究方法和程序不满意。当他们通过新的可信赖的专业活动（EPA）里程碑时，根据他们的学习偏好调整内容交付对于参与至关重要，这是Kirkpatrick培训评估模型的关键因素。本研究探讨普外科住院医师对电子学习的经验、态度和偏好，以加强EPA时代外科教育的教学。方法采用趋同平行设计，对22家美国机构的普外科住院医师进行全国性调查和半结构化访谈。该调查考察了医学院和住院医师对电子学习资源的利用、满意度和财务投资。访谈提供了居民对有效电子学习的期望特征的见解。数据分析包括调查结果的比较统计和访谈的反思性专题分析。结果调查对象为106名普外科住院医师。住院医师对医学院使用的电子学习资源（如UWorld、Sketchy medical）的满意度高于住院医师（如TrueLearn、SCORE Web Portal）(平均差异 = 0.4,95% CI = [0.3,0.5],p <；0.001)。学习者在USMLE准备方面的财务投资明显高于ABSITE（74%对21%）愿意花费500美元；p & lt;0.001)。另外，30名普通外科住院医生参加了半结构化访谈，这些访谈突出了他们对移动学习、多媒体、游戏化和基于能力的评估的偏好。居民们注意到当前的电子学习资源与EPA评估范例之间存在差距。结论普外科住院医师发现目前的住院医师电子学习资源缺乏临床相关性，与基于能力的评估不一致。在外科教育的EPA时代，有必要开发创新的电子学习平台，为住院医生准备标准化考试和支持临床能力发展。解决这些差距将提高外科培训的质量和效率，使住院医生更好地为独立执业做好准备。

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Out of Touch: A Nationwide Mixed-Methods e-Learning Needs Assessment of General Surgery Residents

Introduction

The digital age has transformed health professions education, making online learning (e-learning) essential for instruction, assessment, and evaluation. However, general surgery residents are dissatisfied with current study methods and routines. As they progress through the new Entrustable Professional Activities (EPA) milestones, adapting content delivery to their learning preferences is crucial for engagement, a key element in the Kirkpatrick training evaluation model. This study explores general surgery residents' experiences, attitudes, and preferences toward e-learning to enhance instruction in the EPA era of surgical education.

Methods

We used a convergent parallel design, distributing a national survey and conducting semi-structured interviews with general surgery residents from 22 U.S. institutions. The survey examined e-learning resource utilization, satisfaction, and financial investment in medical school and residency. Interviews provided insights into residents' desired features of effective e-learning. Data analysis included comparative statistics for survey results and reflexive thematic analysis for interviews.

Results

The survey was completed by 106 general surgery residents. Residents reported higher satisfaction with e-learning resources utilized in medical school (e.g., UWorld, Sketchy Medical) than those in residency (e.g., TrueLearn, SCORE Web Portal) (mean difference = 0.4, 95% CI = [0.3,0.5], p < 0.001). Learners’ financial investment in USMLE preparation was significantly higher than for ABSITE (74% vs. 21% willing to spend >$500; p < 0.001). Separately, 30 general surgery residents participated in semi-structured interviews, which highlighted preferences for mobile learning, multimedia, gamification, and competency-based assessments. Residents noted a gap between current e-learning resources and the EPA assessment paradigm.

Conclusions

General surgery residents find current e-learning resources in residency lacking clinical relevance and alignment with competency-based assessments. In the EPA era of surgical education, there is a need to develop innovative e-learning platforms that prepare residents for standardized examinations and support clinical competency development. Addressing these gaps will enhance the quality and efficiency of surgical training to better prepare residents for independent practice.

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来源期刊

Journal of Surgical Education EDUCATION, SCIENTIFIC DISCIPLINES-SURGERY

CiteScore

5.60

自引率

10.30%

发文量

261

审稿时长

48 days

期刊介绍： The Journal of Surgical Education (JSE) is dedicated to advancing the field of surgical education through original research. The journal publishes research articles in all surgical disciplines on topics relative to the education of surgical students, residents, and fellows, as well as practicing surgeons. Our readers look to JSE for timely, innovative research findings from the international surgical education community. As the official journal of the Association of Program Directors in Surgery (APDS), JSE publishes the proceedings of the annual APDS meeting held during Surgery Education Week.