Sarff Maryclare, Ellis Michelle C, Vetto John T
Department of Surgery, Division of Surgical Oncology, Oregon Health & Science University, Portland, OR, USA.
J Cancer Educ. 2009;24(3):176-9. doi: 10.1080/08858190902876213.
The recently mandated reduction in surgical resident work hours led to concerns that surgical cancer education would suffer, as measured by cancer case exposure.
Final operative logs submitted to the American Board of Surgery by chief residents graduating from our program were compared for 2 time periods: prior to the mandate (2002-2003) and after (2006-2007).
Case logs from graduating residents (n = 36) showed a nonsignificant decrease in cancer as the percentage of total major cases, due to an actual increase in total major cases. Conversely, endoscopy and minor cancer case experience both decreased.
Exposure to minor cancer cases and endoscopies has decreased; this has led to a requirment for a minimum number of endoscopies/graduating resident, and to strategies for increasing exposure to minor cancer cases.
最近对外科住院医师工作时长的规定减少，引发了人们对于外科癌症教育会受影响的担忧，这种影响通过接触癌症病例来衡量。
将我们项目毕业的总住院医师提交给美国外科委员会的最终手术记录，在两个时间段进行比较：规定实施前（2002 - 2003年）和实施后（2006 - 2007年）。
毕业住院医师（n = 36）的病例记录显示，癌症病例占总主要病例的百分比略有下降，但不显著，这是因为总主要病例实际有所增加。相反，内镜检查和小癌症病例的经验都有所减少。
接触小癌症病例和内镜检查的机会减少了；这导致了对每位毕业住院医师内镜检查最低数量的要求，以及增加接触小癌症病例的策略。
Zotero 插件