Watters David A K, Green Anthony J, van Rij Andre
Department of Clinical and Biomedical Sciences, University of Melbourne and Barwon Health, Geelong Hospital, Victoria, Australia.
ANZ J Surg. 2006 Mar;76(3):181-4. doi: 10.1111/j.1445-2197.2006.03663.x.
All trainees are required to keep a logbook as a record of the procedures they have carried out during their surgical training. However, the current logbook is only a record of work carried out and not of the outcome of the operations. It does not prepare the trainee for either a lifetime practice of surgical audit or for a lifetime of learning from the audit process. The logbook requirements of different training boards vary and consequently, trainees find the keeping of a logbook an inconsistent process with ill-defined learning objectives. The Royal Australasian College of Surgeons should define what needs to be collected, how data should be verified and how experience and learning should be reported, and should approve electronic databases that meet logbook standards. The choice of database software and format can then be left to the trainee. Although there are good examples of electronic logbooks being developed, there is, at present, no perfect logbook available. We recommend that all trainees, from the commencement of basic surgical training, should keep a logbook that contains the minimum and expanded datasets in addition to specific trainee data on supervision and learning. In addition to the current reporting format focused on procedural casemix and supervision level, quality/outcome reports and a record of learning are recommended.
所有实习生都必须保留一本日志，以记录他们在外科培训期间所进行的手术操作。然而，目前的日志仅记录了所开展的工作，而非手术结果。它既无法让实习生为终身进行外科审计实践做好准备，也无法让他们为从审计过程中学习一生做好准备。不同培训委员会对日志的要求各不相同，因此，实习生发现保留日志是一个过程不一致且学习目标不明确的过程。澳大利亚皇家外科学院应明确需要收集的内容、数据应如何核实以及经验和学习情况应如何报告，并应批准符合日志标准的电子数据库。数据库软件和格式的选择可留给实习生。尽管目前正在开发一些不错的电子日志示例，但目前还没有完美的日志。我们建议，所有实习生从基础外科培训开始就应保留一本日志，其中除了包含关于监督和学习的特定实习生数据外，还应包含最低限度数据集和扩展数据集。除了目前侧重于手术病例组合和监督水平的报告格式外，还建议提供质量/结果报告和学习记录。
