Cosman Peter, Hemli Jonathan M, Ellis Andrew M, Hugh Thomas J
Northern Clinical Skills Centre, Division of Surgery, Royal North Shore Hospital, University of Sydney, Sydney, New South Wales, Australia.
ANZ J Surg. 2007 Oct;77(10):838-45. doi: 10.1111/j.1445-2197.2007.04254.x.
Surgical practice is undergoing fundamental changes, and this is having a significant effect on the training of surgeons. Learning the craft of surgery is threatened by reduced elective operative exposure and general service cuts within public teaching hospitals, safer working hour legislation and pressures to accelerate the training of young surgeons. Rapid technological changes mean that 'old dogs' have to teach 'young dogs' many new tricks in a relatively adverse environment. This review outlines the great variety of resources available for skills-based training outside the operating room. These resources are ready to be used as a necessary adjunct to the training of competent surgeons in Australasia.
外科手术实践正在经历根本性变革，这对外科医生的培训产生了重大影响。公立教学医院择期手术机会的减少、整体服务的削减、更安全工作时间的立法以及加速年轻外科医生培训的压力，都威胁着外科技艺的学习。快速的技术变革意味着“老狗”必须在相对不利的环境中教“小狗”许多新技能。本综述概述了手术室之外可用于基于技能培训的大量资源。这些资源随时可作为在澳大拉西亚培训合格外科医生的必要辅助手段加以利用。
