Stevens P S, De Villiers M, Van Niekerk M L
Division of Paediatrics Surgery, Department of Surgery, University of Pretoria.
S Afr J Surg. 2011 Mar 14;49(1):36-8.
To document the current status of laparoscopic training of paediatric surgical registrars in South Africa.
An anonymous questionnaire was distributed. Participants were asked to document their involvement in a number of index laparoscopic procedures during the preceding year, as well as additional non-operative training they received and their satisfaction with their training thus far.
All registrars (N=16) completed the questionnaire. Registrars were from the Universities of KwaZulu-Natal, Cape Town, Stellenbosch, Pretoria and the Witwatersrand, and Walter Sisulu University. The ratio of consultants proficient in paediatric laparoscopy to registrars was between 0.6 and 1. Junior registrars were more likely to assist with, and senior registrars more likely to perform, procedures. Registrar satisfaction varied greatly across institutions, with 44% of registrars satisfied with their training.
The consultant-to-registrar ratio is favourable, and high patient load provides opportunity for laparoscopic education. However, there are a number of obstacles to adequate training. These include the feasibility of after-hours laparoscopic surgery and the availability and use of training aids. The introduction of a structured training programme across all institutions will improve laparoscopic proficiency and satisfaction among paediatric surgical registrars in South Africa.
记录南非小儿外科住院医师腹腔镜培训的现状。
发放一份匿名问卷。参与者被要求记录他们在前一年参与的一些腹腔镜索引手术，以及他们接受的额外非手术培训，以及他们对目前培训的满意度。
所有住院医师（N = 16）均完成了问卷。住院医师来自夸祖鲁 - 纳塔尔大学、开普敦大学、斯泰伦博斯大学、比勒陀利亚大学、威特沃特斯兰德大学和沃尔特·西苏鲁大学。精通小儿腹腔镜手术的顾问医师与住院医师的比例在0.6至1之间。初级住院医师更有可能协助手术，而高级住院医师更有可能进行手术。不同机构的住院医师满意度差异很大，44%的住院医师对他们的培训感到满意。
顾问医师与住院医师的比例较为有利，高患者量为腹腔镜教育提供了机会。然而，充分培训存在一些障碍。这些障碍包括非工作时间腹腔镜手术的可行性以及培训辅助工具的可用性和使用情况。在所有机构引入结构化培训计划将提高南非小儿外科住院医师的腹腔镜操作水平和满意度。
