Hoover Susan J, Berry Michael P, Rossick Lesa, Rege Robert V, Jones Daniel B
Department of Interdisciplinary Oncology, H. Lee Moffitt Cancer Center, Tampa, Florida 33612-9497, USA.
Surg Innov. 2008 Mar;15(1):52-8. doi: 10.1177/1553350608316134.
Ultrasound-guided breast biopsy has emerged as a common method for lesion diagnosis. This study sought to instruct and measure surgical residents' performance in ultrasound-guided breast biopsy and evaluate their thoughts regarding it. Thirteen (n = 13) senior residents completed a written pretest or questionnaire and 2.5 hours of simulated breast core and vacuum needle biopsies. Residents then completed the same written exam, and their biopsy performance was rated. There was 13% overall improvement of written test scores, and 73% resident improved comfort levels with performing biopsies. Successfully performed core biopsies and vacuum biopsies were 86% and 83%, respectively. All residents reported that instruction in ultrasound-guided breast biopsy is very important and should be mandatory in residency training programs. With concentrated instruction, residents are able to learn ultrasound-guided breast biopsy with improvement in objective measures and self-confidence levels. Resident feedback was positive and emphasized the importance of this training in surgical residency curriculums.
超声引导下乳腺活检已成为病变诊断的常用方法。本研究旨在指导并评估外科住院医师在超声引导下乳腺活检中的操作表现，并评价他们对此的看法。13名高级住院医师完成了书面预测试或问卷调查以及2.5小时的模拟乳腺粗针活检和真空辅助活检。之后，住院医师再次完成相同的书面考试，并对他们的活检操作进行评分。书面考试成绩总体提高了13%，73%的住院医师进行活检的舒适度有所提高。粗针活检和真空辅助活检的成功率分别为86%和83%。所有住院医师均表示，超声引导下乳腺活检的指导非常重要，应在住院医师培训项目中强制开展。通过集中指导，住院医师能够学会超声引导下乳腺活检，客观指标和自信心均有所提高。住院医师的反馈是积极的，并强调了此项培训在外科住院医师课程中的重要性。
