Scott & White Health System and Texas A&M Health Science Center College of Medicine, Temple, Texas 76508, USA.
Acad Med. 2010 May;85(5):768-74. doi: 10.1097/ACM.0b013e3181d748c3.
Academic surgery is a microcosm of the greater academic medical enterprise-albeit with some admitted idiosyncrasies. Most of the issues and challenges are common to other areas of academic practice, but the means by which academic surgeons meet these challenges will be different. Along with continuous process improvement, future innovation is imperative in virtually all areas. Some specific solutions to challenges in clinical care that academic surgeons should pursue include promoting both evidenced-based and more uniform, quality surgical clinical care; incorporating more efficiency into the clinical care environment; continuing to develop minimally invasive technology and techniques; and implementing the use of prospective clinical databases in real time. Goals of surgical education should include using simulation technology, standardizing technical evaluation techniques, incorporating more basic science, and focusing more on professionalism. Lastly, the surgical research enterprise needs restructuring (including a new process for making decisions regarding who receives resources), strategies to improve extramural funding, and new approaches for selecting foci for surgical research efforts that build on differentiated strengths related to surgical practice.
学术外科是更大的学术医学事业的一个缩影——尽管存在一些公认的特质。大多数问题和挑战与学术实践的其他领域是共同的，但学术外科医生应对这些挑战的方法将有所不同。除了持续的流程改进外，未来的创新在几乎所有领域都是必要的。学术外科医生应该寻求解决临床护理挑战的一些具体解决方案，包括促进基于证据的更统一、高质量的外科临床护理；将更多的效率融入临床护理环境；继续发展微创技术和技术；并实时实施使用前瞻性临床数据库。外科教育的目标应包括使用模拟技术、标准化技术评估技术、纳入更多基础科学，并更加注重专业精神。最后，外科研究企业需要进行重组（包括制定有关谁获得资源的决策的新流程），制定改善外部资助的策略，以及为外科研究工作选择重点的新方法，这些方法建立在与外科实践相关的差异化优势之上。
