Sachdeva Ajit K, Russell Thomas R
American College of Surgeons, 633 N. Saint Clair Street, Chicago, IL 60611-3211, USA.
Surg Oncol Clin N Am. 2007 Jan;16(1):101-14. doi: 10.1016/j.soc.2006.10.009.
Ongoing horizon scanning is needed to identify new procedures and emerging technologies that should be evaluated for introduction into surgical practice. Following evidence-based evaluation, if a new modality is found ready for adoption in practice, surgeons need education in the safe and effective use of the new modality. The educational experience should include structured teaching and learning, verification of new knowledge and skills, preceptoring or proctoring, and monitoring of outcomes. Credentialing and privileging to perform a new procedure or use an emerging technology should be based on evaluation of knowledge and skills and outcomes of surgical care, and not merely on the numbers of procedures performed. Education of the entire surgical team is also essential. The entire process involving education, verification of knowledge and skills, credentialing, and privileging must be transparent. Patients need to play a central role in making informed decisions regarding their care that involves use of a new procedure or an emerging technology, and they should participate actively in their perioperative care.
需要持续进行前沿扫描，以识别那些应评估是否引入外科实践的新手术和新兴技术。经过循证评估后，如果发现一种新方法已准备好在实践中采用，外科医生需要接受关于安全有效使用新方法的教育。教育体验应包括结构化的教学、新知识和技能的验证、带教或监考以及结果监测。授予实施新手术或使用新兴技术的资质和权限应基于对知识和技能以及外科护理结果的评估，而不仅仅基于所实施手术的数量。对整个手术团队进行教育也至关重要。涉及教育、知识和技能验证、资质认定和权限授予的整个过程必须透明。患者在就涉及使用新手术或新兴技术的护理做出明智决策时应发挥核心作用，并且他们应积极参与围手术期护理。
