Satava R M
Surgical Endoscopy Service, Silas B Hays Army Hospital, Fort Ord, CA 93941.
Mil Med. 1991 Mar;156(3):103-4.
To assess the benefit of surgeons being trained in endoscopic procedures, the gastrointestinal endoscopic experience of all surgical residents graduating from a single medical center in the 1984-87 period was evaluated. For the 1989 1-year period, the surgeons' aggregate total of gastrointestinal endoscopic procedures was 1,040: 470 EGDs and 570 colonoscopies. During a 3-year (1987-89) period, the total was 2,290 procedures: 1,080 EGDs and 1,210 colonoscopies. While the cost savings for over 1,000 endoscopic procedures a year is obvious, it is the impact of the accessibility of these procedures on quality patient care that is of the greatest benefit. In this era of financial constraints and personnel cutbacks, the incorporation of gastrointestinal endoscopy into surgical training must be insured and surgeons must be encouraged to pursue their endoscopic skills throughout their surgical careers.
为评估外科医生接受内镜手术培训的益处，我们对1984 - 1987年间从单一医学中心毕业的所有外科住院医师的胃肠内镜经验进行了评估。在1989年的1年时间里，外科医生进行的胃肠内镜手术总数为1040例：470例上消化道内镜检查（EGD）和570例结肠镜检查。在3年（1987 - 1989年）期间，总数为2290例手术：1080例上消化道内镜检查和1210例结肠镜检查。虽然每年进行1000多例内镜手术节省的成本显而易见，但这些手术的可及性对优质患者护理的影响才是最大的益处。在这个财政紧张和人员削减的时代，必须确保将胃肠内镜检查纳入外科培训，并且必须鼓励外科医生在其整个外科职业生涯中不断提高内镜技能。
