Power K J, Norman J
Shackleton Department of Anaesthetics, Southampton General Hospital.
Anaesthesia. 1992 Jun;47(6):518-22. doi: 10.1111/j.1365-2044.1992.tb02279.x.
A group of newly qualified pre-registration House Officers completed a questionnaire relating to their knowledge of anaesthetic drugs and to their appreciation of complications which may, in whole or in part, have required some knowledge of anaesthesia. Considerable gaps in knowledge were demonstrable, not only in matters that might arguably be regarded as strictly within the province of anaesthesia, but also in respect of basic pharmacology. The same House Officers were also questioned as to the necessity for various basic pre-operative investigations prior to six everyday surgical procedures. This demonstrated a marked propensity for House Officers to overinvestigate patients as compared to the requirements of practising anaesthetists. The discrepancy was most marked with respect to pre-operative chest X rays. However, considerable disparity was also demonstrable amongst a group of experienced anaesthetists as to their requirements for pre-operative investigations. Permitting students greater exposure to anaesthesia in the undergraduate curriculum could go a long way towards improving this situation.
一群新获得资格的预注册住院医师完成了一份问卷，内容涉及他们对麻醉药物的了解以及对可能全部或部分需要一定麻醉知识的并发症的认识。知识上的显著差距不仅体现在那些可以说是严格属于麻醉领域的问题上，也体现在基础药理学方面。同样这些住院医师还被问及六种日常外科手术前各种基本术前检查的必要性。这表明与执业麻醉师的要求相比，住院医师有过度检查患者的明显倾向。这种差异在术前胸部X光检查方面最为明显。然而，在一组经验丰富的麻醉师中，他们对术前检查的要求也存在相当大的差异。在本科课程中让学生更多地接触麻醉，对于改善这种情况大有帮助。
