Chiasson P M, Pace D E, Schlachta C M, Mamazza J, Poulin E C
Department of Surgery, University Medical Center, University of Arizona, Tucson, AZ 85724, USA.
Surg Endosc. 2003 Mar;17(3):371-7. doi: 10.1007/s00464-002-8818-6. Epub 2002 Nov 20.
The purpose of this study was to assess the state of surgical training in minimally invasive surgery (MIS) within Canadian academic surgical departments.
A pretested questionnaire was distributed to the general surgery residents of participating Canadian academic surgical departments.
Fourteen of 16 residency programs participated and 235 of 388 residents (60%) responded to the survey. Residents expect to perform both basic (217/235 [92%]) and advanced (123/234 [53%]) MIS procedures on completion of their residency. However, only 41 of 233 (18%) believed that their advanced MIS training would be adequate. On a Likert scale, the most important factors influencing their training included limited advanced case volume (median, 5), limited opportunity in the operating room (OR) (median, 5), lack of attending surgeon interest (median, 4), limited OR time (median, 4), and a lack of surgical department support (median, 4). Residents were concerned about their ability to acquire these skills once they finished their training (median, 4), and 231 of 234 (99%) thought that there was an important role for a MIS surgeon within the academic setting (median, 5).
The rapid development of MIS has generated complex issues for resident training within the present Canadian academic surgical environment.
本研究的目的是评估加拿大各学术外科科室的微创手术（MIS）外科培训状况。
向参与研究的加拿大各学术外科科室的普通外科住院医师发放了一份经过预测试的问卷。
16个住院医师培训项目中有14个参与了研究，388名住院医师中有235名（60%）对调查做出了回应。住院医师期望在完成住院医师培训后能够进行基本的（217/235 [92%]）和高级的（123/234 [53%]）MIS手术。然而，233名住院医师中只有41名（18%）认为他们的高级MIS培训是足够的。在李克特量表上，影响他们培训的最重要因素包括高级病例数量有限（中位数为5）、手术室（OR）机会有限（中位数为5）、主刀医生缺乏兴趣（中位数为4）、OR时间有限（中位数为4）以及外科科室支持不足（中位数为4）。住院医师担心他们在完成培训后获取这些技能的能力（中位数为4），并且234名住院医师中有231名（99%）认为MIS外科医生在学术环境中具有重要作用（中位数为5）。
MIS的快速发展在当前加拿大的学术外科环境中给住院医师培训带来了复杂的问题。
