Division of Endocrine Surgery, University of Michigan, Ann Arbor, MI 48109, USA.
World J Surg. 2010 Jun;34(6):1157-63. doi: 10.1007/s00268-010-0481-9.
Use of ultrasound (USN) by endocrine surgeons has dramatically increased. Presently, optimal training and certification requirements have not been standardized at any level (resident/fellow/attending). We sought to define the types of USN training endocrine surgeons receive and how USN is employed in practice. We hypothesized that in more recent years fellowship-trained endocrine surgeons were more likely to receive formal training in the use of USN during their endocrine surgery fellowship.
A survey link was sent via email to a large group of endocrine surgeons around the world asking about the settings in which they received USN training, the type of instruction received, current use of USN, and other various questions. chi(2) analysis was performed and P < 0.05 was considered significant.
One hundred twenty-one surveys were collected from respondents in 27 countries. Median time from completion of residency to the present was 17 years (range = 2-49). Fifty-nine percent of both fellowship- and nonfellowship-trained endocrine surgeons currently use USN in their practice. Of those currently performing USN, 38% reported no USN training of any kind (47% international vs. 23% United States). USN experience among international and U.S. residents was not different (P = 0.27). Fifty-nine percent of respondents reported completing an endocrine surgery fellowship; of those, 85% reported no formal USN training. Forty-one percent reported not being comfortable performing USN at the completion of their endocrine surgery fellowships, requiring the presence of someone else to assist with the exam.
USN training among endocrine surgeons varies widely around the world. Despite an increase in the number of formal endocrine surgery fellowships offered, it does not appear that the number with formal USN training and certification has increased. Formal USN certification is achieved in only a minority of cases among practicing endocrine surgeons. It is currently unknown whether there is a difference in competency between endocrine surgeons with formal versus informal USN training.
内分泌外科医生对超声（USN）的使用有了显著的增加。目前，在任何层面（住院医师/研究员/主治医生）都没有对最佳培训和认证要求进行标准化。我们旨在确定内分泌外科医生接受的 USN 培训类型以及 USN 在实践中的应用方式。我们假设，在最近几年，接受内分泌外科住院医师培训的医生更有可能在其内分泌外科住院医师培训期间接受 USN 使用的正式培训。
我们向世界各地的一大批内分泌外科医生发送了一份调查链接，询问他们在何处接受 USN 培训、接受了何种类型的指导、目前 USN 的使用情况以及其他各种问题。进行了卡方分析，P 值<0.05 被认为具有统计学意义。
从 27 个国家的受访者中收集了 121 份调查。从住院医师培训结束到现在的中位时间为 17 年（范围=2-49）。59%的接受过住院医师培训和未接受过住院医师培训的内分泌外科医生目前在其实践中使用 USN。在目前进行 USN 的医生中，38%的人报告没有接受过任何形式的 USN 培训（47%的国际医生和 23%的美国医生）。国际和美国的住院医师在 USN 经验方面没有差异（P=0.27）。59%的受访者报告完成了内分泌外科住院医师培训；其中，85%的人报告没有接受过正式的 USN 培训。41%的人报告在完成内分泌外科住院医师培训时，他们不熟练进行 USN，需要其他人协助进行检查。
世界各地的内分泌外科医生的 USN 培训差异很大。尽管提供的正式内分泌外科住院医师培训数量有所增加，但接受过正式 USN 培训和认证的人数似乎并未增加。只有少数在实践中的内分泌外科医生获得了正式的 USN 认证。目前尚不清楚具有正式和非正式 USN 培训的内分泌外科医生在能力方面是否存在差异。
