Wallace Tom, Birch Daniel W
Centre for the Advancement of Minimally Invasive Surgery, Department of Surgery, University of Alberta, Royal Alexandra Hospital, Capital Health, 10240 Kingsway, Edmonton, Alberta, Canada T5H 3V9.
Am J Surg. 2007 May;193(5):593-5; discussion 596. doi: 10.1016/j.amjsurg.2007.01.004.
The ideal continuing professional development (CPD) model to transfer advanced minimally invasive surgical (MIS) skills to surgeons in practice has not yet been determined.
A survey of general surgeons practicing in Alberta was conducted to determine attitudes toward CPD with a focus on MIS colon surgery. Two separate mailings of the survey were conducted in both hard copy and e-mail format. Data were collected and analyzed.
Seventy-one of 92 surveys were returned, yielding a response rate of 77%. The majority (62%) of surgeons had received their training while in practice. The most prevalent form of CPD was short courses, with 82% of surgeons having attended at least 1 short course in MIS. When directly comparing short courses with mentorship, 69% of respondents rated courses as less helpful, whereas 21% thought they were equivalent to mentorship. Sixty-one percent of surgeons are interested in a comprehensive approach, such as a mini-fellowship, to learning laparoscopic colorectal surgery.
General surgeons want access to different modalities of training, including both mentorship experiences and short courses. They are willing to take time away from their practices to learn new MIS skills. The best way to provide CPD to practicing surgeons is likely through a combination of teaching interventions, including courses, mentoring relationships, and the application of new technologies.
尚未确定将先进的微创手术（MIS）技能传授给临床外科医生的理想继续职业发展（CPD）模式。
对在艾伯塔省执业的普通外科医生进行了一项调查，以确定他们对CPD的态度，重点是MIS结肠手术。调查以纸质版和电子邮件两种形式分两次邮寄。收集并分析了数据。
92份调查问卷中有71份被收回，回复率为77%。大多数（62%）外科医生是在临床实践中接受的培训。CPD最普遍的形式是短期课程，82%的外科医生至少参加过1次MIS短期课程。在将短期课程与导师指导直接比较时，69%的受访者认为课程帮助较小，而21%的人认为它们与导师指导相当。61%的外科医生对学习腹腔镜结直肠手术的综合方法（如小型进修项目）感兴趣。
普通外科医生希望获得不同形式的培训，包括导师指导经验和短期课程。他们愿意从临床工作中抽出时间来学习新的MIS技能。为执业外科医生提供CPD的最佳方式可能是通过多种教学干预措施相结合，包括课程、导师关系以及新技术的应用。
