Bruening Martin H, Anthony Adrian A, Maddern Guy J
Department of Surgery, University of Adelaide, The Queen Elizabeth Hospital, Woodville Road, Woodville, Adelaide, South Australia 5011, Australia.
ANZ J Surg. 2003 Jan-Feb;73(1-2):65-8. doi: 10.1046/j.1445-2197.2003.02620.x.
Rural general surgery is faced with a shortage of resident surgeons in many parts of Australia. Although it is accepted that an undergraduate rural exposure favourably influences graduates to undertake rural practice, it is not known whether postgraduate terms exert a similar effect.
Advanced general surgical trainees in 2000 were rotated for 1-month terms to Whyalla, a major provincial centre in South Australia. The trainees were asked to complete a questionnaire before and after the rotation.
A total of nine trainees completed a rural term in Whyalla. Eight questionnaires were returned prior to the rotation and seven following the time in Whyalla. The overall experience, and the teaching standards and pathology experienced were rated highly but the term had little effect in changing trainee's attitudes towards eventual practice location.
Postgraduate surgical terms in South Australia are a relatively new phenomenon compared to other states in Australia. Without a foundation in rural surgery at an undergraduate level, surgical terms for trainees, despite being of high quality, might not be very successful in influencing graduates to practise surgery in rural locations.
在澳大利亚许多地区，农村普通外科面临住院外科医生短缺的问题。尽管人们普遍认为本科阶段接触农村环境会对毕业生从事农村医疗工作产生积极影响，但尚不清楚研究生阶段的实习是否会产生类似效果。
2000年，高级普通外科实习生在南澳大利亚的一个主要省级中心怀阿拉进行了为期1个月的轮转实习。实习生被要求在轮转前后填写一份问卷。
共有9名实习生在怀阿拉完成了农村实习。8份问卷在轮转前返回，7份在怀阿拉实习结束后返回。总体体验、教学标准和所经历的病理学情况得到了高度评价，但该实习对改变实习生对最终执业地点的态度影响不大。
与澳大利亚其他州相比，南澳大利亚的研究生外科实习是一个相对较新的现象。如果本科阶段没有农村外科的基础，尽管实习生的实习质量很高，但可能无法非常成功地影响毕业生在农村地区从事外科工作。
