Powell Anathea C, Casey Kathleen, Liewehr David J, Hayanga Awori, James Ted A, Cherr Gregory S
Department of Surgery, New York University School of Medicine, New York, NY, USA.
J Am Coll Surg. 2009 Feb;208(2):304-12. doi: 10.1016/j.jamcollsurg.2008.10.025. Epub 2008 Dec 4.
Data are emerging about the essential nature of sustainable global surgical care and interest among North American surgeons. Currently, there is no formal mechanism for US surgical residents to participate in international training opportunities. A small, single-institution survey found that general surgery residents at New York University are highly motivated to pursue international training. But little research has addressed the attitudes of North American residents about international training. The goal of this study was to acquire a broader understanding of surgical resident interest in international training.
A structured questionnaire was administered anonymously and voluntarily to all American College of Surgeons resident members.
Seven hundred twenty-four residents completed surveys. Ninety-four percent of respondents planned careers in general surgery. Ninety-two percent of respondents were interested in an international elective, and 82% would prioritize the experience over all or some other electives. Fifty-four percent and 73% of respondents would be willing to use vacation and participate even if cases were not counted for graduation requirements, respectively. Educational indebtedness was high among respondents (50% of respondents carried >or=$100,000 debt). Despite debt, 85% of respondents plan to volunteer while in practice. The most frequent barriers identified by respondents were financial (61%) and logistic (66%).
American College of Surgeons resident members are highly motivated to acquire international training experience, with many planning to volunteer in the future. A consensus among stakeholders in North American surgical education is needed to further explore international training within surgical residency.
有关全球可持续外科护理的本质以及北美外科医生对此的兴趣的数据正在不断涌现。目前，美国外科住院医师没有正式机制参与国际培训机会。一项小型的单机构调查发现，纽约大学的普通外科住院医师非常有动力寻求国际培训。但很少有研究涉及北美住院医师对国际培训的态度。本研究的目的是更广泛地了解外科住院医师对国际培训的兴趣。
向所有美国外科医师学会住院医师成员匿名且自愿发放一份结构化问卷。
724名住院医师完成了调查。94%的受访者计划从事普通外科职业。92%的受访者对国际选修课程感兴趣，82%的人会将这种经历置于所有或某些其他选修课程之上。54%和73%的受访者愿意分别利用假期并即使这些病例不计入毕业要求也参与。受访者中教育债务很高（50%的受访者背负着≥10万美元的债务）。尽管有债务，85%的受访者计划在从业时从事志愿工作。受访者指出的最常见障碍是经济方面（61%）和后勤方面（66%）。
美国外科医师学会住院医师成员非常有动力获得国际培训经验，许多人计划未来从事志愿工作。北美外科教育利益相关者之间需要达成共识，以进一步探索外科住院医师培训中的国际培训。
