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东南亚、澳大利亚和英国外科培训的比较研究。

A comparative study of surgical training in South East Asia, Australia and the United Kingdom.

作者信息

Lum Siew Kheong, Crisostomo Armando C

机构信息

College of Surgeons, Academy of Medicine of Malaysia, Kuala Lumpur, Malaysia.

出版信息

Asian J Surg. 2009 Jul;32(3):137-42. doi: 10.1016/S1015-9584(09)60384-5.

DOI:10.1016/S1015-9584(09)60384-5
PMID:19656752
Abstract

OBJECTIVE

A survey of the current status of surgical training in Hong Kong, Malaysia, Singapore, Philippines and Thailand, in comparison with the UK and Australia, was done to explore the possibility of cross border training in South East Asia (SEA).

METHODS

A comprehensive questionnaire on various aspects of surgical training was sent to the presidents of the surgical colleges from Australia, Hong Kong, Malaysia, Philippines, Singapore, Thailand and the Royal College of Surgeons of England (RCS England). The results were compiled and subsequently discussed at a meeting of the Presidents or their representatives in Malaysia.

RESULTS

Aside from being patterned after two distinct surgical training models (British and American), extensive variability was observed among the training programs in the SEA region particularly in terms of direction, control and management.

CONCLUSION

Quality of training can be improved by changing to a curriculum and competency based model, utilization of continuous assessment methods, reducing service requirements and better compensation for trainers. Southeast Asia has the potential to provide centres of excellence for surgical training. Surgical educators in SEA will find useful information in this paper to improve their programs which will hopefully evolve into a common core curriculum and enable cross border exchange of surgical trainees in SEA for broader exposure.

摘要

目的

对香港、马来西亚、新加坡、菲律宾和泰国的外科培训现状进行调查,并与英国和澳大利亚进行比较,以探索东南亚跨境培训的可能性。

方法

向澳大利亚、香港、马来西亚、菲律宾、新加坡、泰国的外科医学院院长以及英国皇家外科医学院(RCS England)发送了一份关于外科培训各个方面的综合问卷。对结果进行了汇总,并随后在马来西亚举行的院长或其代表会议上进行了讨论。

结果

除了仿照两种不同的外科培训模式(英式和美式)外,东南亚地区的培训项目之间存在很大差异,特别是在方向、控制和管理方面。

结论

通过转向基于课程和能力的模式、采用持续评估方法、减少服务要求以及提高培训师的薪酬,可以提高培训质量。东南亚有潜力提供卓越的外科培训中心。东南亚的外科教育工作者将从本文中找到有用的信息,以改进他们的项目,有望发展成为一个共同的核心课程,并使东南亚的外科实习生能够进行跨境交流,以获得更广泛的经验。

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