Department of General Surgery, Scunthorpe General Hospital, Cliff Gardens, Scunthorpe, North Lincolnshire DN15 7BH, United Kingdom.
Int J Surg. 2010;8(2):135-9. doi: 10.1016/j.ijsu.2009.11.012. Epub 2009 Dec 11.
Over the past decade there has been considerable change to surgical training such as modernising medical careers which have raised concerns over exposure to operative experience. With the National Health Service (NHS) plan aiming for the majority of elective surgical cases to be performed as day cases we sought to assess the level of exposure modern day surgical trainees obtain in day case surgery.
An anonymous electronic questionnaire survey was completed by 100 surgical trainees in surgical training across the United Kingdom (UK) from a variety of sub-specialities. 16 questions pertinent to day case surgery exposure were answered.
The majority of the trainees who completed the survey felt day case surgery is a vital part of their training as a surgeon. Only less than one-third of all the trainees had formal timetabled day case surgery lists. Of the 31 trainees who had scheduled day lists only 58% (n = 18) were consistently able to attend. The most common reasons for being unable to attend were rota issues and lack of encouragement from seniors. 90 trainees (90%) were not satisfied with their overall Day Case Surgery training.
The survey reveals that the modern surgical trainee is gaining a low and inconsistent level of exposure to day case surgery despite being aware of the importance of this modality of training. An urgent review is required to ensure trainees become actively involved in day case surgery and are not missing on this vital training opportunity.
在过去的十年中，外科培训发生了重大变化，例如使医学职业现代化，这引发了人们对手术经验暴露的担忧。由于国民保健制度（NHS）计划旨在使大多数择期手术病例作为日间手术进行，我们试图评估现代外科受训者在日间手术中获得的手术经验水平。
英国（UK）各地的 100 名外科受训者完成了一项匿名电子问卷调查，涉及各种亚专业。回答了 16 个与日间手术暴露相关的问题。
大多数完成调查的受训者认为日间手术是他们作为外科医生培训的重要组成部分。只有不到三分之一的受训者有正式的时间表安排日间手术。在有预约日间手术的 31 名受训者中，只有 58%（n=18）能够始终参加。无法参加的最常见原因是轮班问题和缺乏上级的鼓励。90 名受训者（90%）对他们的整体日间手术培训不满意。
调查显示，尽管现代外科受训者意识到这种培训模式的重要性，但他们获得的日间手术经验水平较低且不一致。需要进行紧急审查，以确保受训者积极参与日间手术，不会错过这一重要的培训机会。
