Knifed Eva, Taylor Bryce, Bernstein Mark
Department of Surgery, Division of Neurosurgery, University Health Network, University of Toronto, 4W451 399 Bathurst Street, Toronto, Ontario M5T2S8, Canada.
Am J Surg. 2008 Nov;196(5):788-94. doi: 10.1016/j.amjsurg.2007.12.058. Epub 2008 Jul 23.
The issue of residents operating and disclosure to patients about this have not been explored from staff surgeons' perspectives.
A preliminary survey was sent to all active surgeons at the University of Toronto. A qualitative interview study followed. Thirty-nine face-to-face interviews were conducted with surgeons. Interviews were transcribed and subjected to thematic analysis by 3 reviewers.
Four encompassing themes emerged: (1) surgeons are comfortable allowing residents to operate independently with graded responsibility, (2) surgeons do not voluntarily inform patients about the involvement of residents in their operation, (3) residents are seen as important assets in a teaching hospital and are beneficial to patient care, and (4) surgeons recognize the trust their patients place in them.
Surgeons recognize their patient care and teaching responsibilities and the trust that is placed in them. Patients might benefit from a discussion with their surgeon about the role of residents in their surgery.
住院医师进行手术操作以及向患者披露这一情况的问题，尚未从外科主治医生的角度进行探讨。
向多伦多大学所有在职外科医生发送了一份初步调查问卷。随后进行了一项定性访谈研究。对39名外科医生进行了面对面访谈。访谈内容被转录，并由3名评审员进行主题分析。
出现了四个总体主题：（1）外科医生对于让住院医师在分级责任下独立进行手术感到放心；（2）外科医生不会主动告知患者住院医师参与了其手术；（3）住院医师在教学医院被视为重要资产，并且对患者护理有益；（4）外科医生认识到患者对他们的信任。
外科医生认识到他们的患者护理和教学责任以及患者对他们的信任。患者可能会受益于与外科医生讨论住院医师在其手术中的角色。
