Smith H W, Keen M, Edwards E
Columbia Presbyterian Medical Center, New York, NY.
Arch Otolaryngol Head Neck Surg. 1991 Dec;117(12):1356-9. doi: 10.1001/archotol.1991.01870240048007.
The volume of experience in the surgical repair of cleft lip and palate deformities is limited in many areas of the United States. This deficit in experience exists not only for those in resident training programs but also for those who practice at universities or are in private practice. Physicians are performing too few operations to maintain their surgical skills in cleft lip and palate surgery. This deficit is also encountered by physicians in the major specialties of plastic surgery, oral surgery, and otolaryngology who perform cleft lip and palate surgery. Physicians from the United States can gain surgical experience in other countries through groups like the Medical Group Mission Christian Medical and Dental Society. Surgical experience is available in Central and South America, India, China, and Africa through similar organizations. The complexity of providing service to under-privileged people through organizations such as the Medical Group Mission Christian Medical and Dental Society is described.
在美国的许多地区，唇腭裂畸形手术修复的经验量有限。这种经验不足不仅存在于住院医师培训项目中的人员，也存在于在大学执业或从事私人执业的人员中。医生进行的唇腭裂手术太少，无法维持他们的手术技能。进行唇腭裂手术的整形外科、口腔外科和耳鼻喉科等主要专科的医生也遇到了这种不足。美国的医生可以通过基督教医学和牙科协会医疗团等组织在其他国家获得手术经验。通过类似组织，在中美洲、南美洲、印度、中国和非洲都可以获得手术经验。文中描述了通过基督教医学和牙科协会医疗团等组织为弱势群体提供服务的复杂性。
