普通外科住院医师培训期间的血管外科培训、接触机会及知识：对未来的影响
Vascular surgery training, exposure, and knowledge during general surgery residency: implications for the future.
作者信息
Boutros John, Sekhon Mypinder S, Webber Eric M, Sidhu Ravi S
机构信息
Division of General Surgery, Department of Surgery, University of British Columbia, Faculty of Medicine, 910 West 10th Avenue, Vancouver, British Columbia, Canada V5Z 4E3.
出版信息
Am J Surg. 2007 May;193(5):561-6; discussion 566. doi: 10.1016/j.amjsurg.2007.02.006.
BACKGROUND
Vascular surgery (VS) has been removed from the Canadian general surgery (GS) objectives and has become a primary certificate specialty in the United States, leaving its status in GS uncertain. The purpose of this study was to determine GS residents' perceived competence in VS and to assess their knowledge of VS.
METHODS
GS residents at a university-based program answered (1) a survey of attitudes and experience in VS and (2) a short-answer examination to assess fundamental vascular knowledge.
RESULTS
Twenty-nine of 35 residents participated (83%). Residents reported being inadequately trained in 10 of 13 procedures surveyed despite 6 of these being reported as essential. Although 26 of 29 residents reported an intention to perform vascular procedures, none planned on pursuing a fellowship. The mean examination score was 47%.
CONCLUSIONS
Despite mandatory VS rotations, GS residents feel inadequately trained in VS and have marginal knowledge. Current trainees may lack the skills and abilities to deal with vascular emergencies.
背景
血管外科（VS）已从加拿大普通外科（GS）的目标中移除，在美国已成为一个初级证书专业，其在普通外科中的地位尚不确定。本研究的目的是确定普通外科住院医师对血管外科的感知能力，并评估他们对血管外科的知识。
方法
在一个大学附属医院项目中的普通外科住院医师回答了（1）关于血管外科态度和经验的调查问卷，以及（2）一个用于评估基本血管知识的简答题考试。
结果
35名住院医师中有29名参与（83%）。住院医师报告称，在所调查的13项手术中有10项培训不足，尽管其中6项被报告为必不可少。虽然29名住院医师中有26名表示有意进行血管手术，但没有人计划攻读专科 fellowship。考试平均成绩为47%。
结论
尽管有强制性的血管外科轮转，但普通外科住院医师觉得在血管外科方面培训不足，知识有限。当前的受训人员可能缺乏处理血管紧急情况的技能和能力。
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