Jackson M J, Pandey V, Wolfe J H N
Regional Vascular Unit, St Mary's Hospital, London, UK.
Eur J Vasc Endovasc Surg. 2003 Nov;26(5):457-66. doi: 10.1016/s1078-5884(03)00317-4.
Despite satisfactory results for surgery performed by trainees, vascular surgeons need to improve training methods to ensure that aspiring surgeons are adequately trained with less clinical exposure during fewer dedicated years of training.
To review the wide range of workshop, laboratory and seminar-room based methods available to train for the diverse range of skills required for distal arterial revascularisation. Training methods include anastomotic suturing skills with bench-top training apparatus, working with realistic plastic models and prosthetic conduits, cadaveric dissections and virtual-reality simulations. Many of these also provide excellent opportunities for objective assessment of technical skills and trainees' progress.
A review of the literature on surgical education, surgical skills training and assessment. An evaluation of some of the apparatus, facilities, training curricula and courses, currently available to European trainees, is carried out.
Many methods are now available to allow focused training for particular skills in non-clinical settings. Objective tools are also available that allow assessment of trainees at many levels or practicing surgeons. These technical skills assessment methods are important for trainees and surgeons who, in the future, will increasingly need to demonstrate competence in vascular surgery.
尽管实习医生进行的手术取得了令人满意的结果，但血管外科医生仍需改进培训方法，以确保有抱负的外科医生在较少的专门培训年限内，通过较少的临床接触得到充分培训。
回顾一系列基于工作坊、实验室和研讨室的方法，这些方法可用于培训远端动脉血运重建所需的各种技能。培训方法包括使用台式训练器械进行吻合缝合技能训练、使用逼真的塑料模型和人工血管、尸体解剖以及虚拟现实模拟。其中许多方法还为客观评估技术技能和学员进展提供了绝佳机会。
对有关外科教育、外科技能培训与评估的文献进行综述。对目前欧洲学员可使用的一些器械、设施、培训课程进行评估。
现在有许多方法可用于在非临床环境中针对特定技能进行集中培训。也有客观工具可用于在多个层面评估学员或执业外科医生。这些技术技能评估方法对学员和外科医生很重要，未来他们将越来越需要证明自己具备血管外科手术能力。
