Cullado M J, Porter J A, Slezak F A
Department of Surgery, Akron City Hospital, Ohio.
Am Surg. 1991 Apr;57(4):250-3.
The American Board of Surgery requires that applicants become familiar with gastrointestinal endoscopy. This report retrospectively reviews Akron City Hospital's ten-year experience in surgical endoscopic training. In July, 1982, a two-month endoscopy rotation was established for fourth-year surgical residents. The average number of endoscopies performed by the resident as surgeon increased from 49.0 in 1984-85, to 167.7 in 1988-89. The percentage of endoscopies performed as surgeon increased from 46.4 per cent to 87.3 per cent during the same period. These increases are coincident with the addition of two trained surgical endoscopists to the faculty. This improvement in resident experience is attributed to an increase in endoscopies performed by faculty surgeons (634 procedures in 1988-89 vs. 291 procedures in 1984-85), and to an increase in percentage of procedures performed as surgeon with faculty gastroenterologists. Two of the three residents graduating in the final year of the study met the SAGES guidelines for upper GI endoscopy and colonoscopy. Based upon this ten-year experience, we recommend that surgical residencies desiring to develop endoscopic training recruit trained surgical endoscopists and develop a collaborative relationship between medical and surgical faculty.
美国外科委员会要求申请者熟悉胃肠内镜检查。本报告回顾性分析了阿克伦市医院在外科内镜培训方面的十年经验。1982年7月，为四年级外科住院医师设立了为期两个月的内镜轮转培训。住院医师作为主刀医生进行的内镜检查平均数量从1984 - 1985年的49.0例增加到1988 - 1989年的167.7例。同期，作为主刀医生进行的内镜检查百分比从46.4%增至87.3%。这些增长与教员队伍中新增两名经过培训的外科内镜医师相吻合。住院医师经验的这种改善归因于教员外科医生进行的内镜检查数量增加（1988 - 1989年为634例，而1984 - 1985年为291例），以及与教员胃肠病学家一起作为主刀医生进行的手术百分比增加。在研究最后一年毕业的三名住院医师中有两名达到了美国胃肠内镜外科学会（SAGES）关于上消化道内镜检查和结肠镜检查的指导标准。基于这十年的经验，我们建议希望开展内镜培训的外科住院医师项目招募经过培训的外科内镜医师，并在内科和外科教员之间建立合作关系。
