Arthur Smith Institute for Urology, Department of Urology, Hofstra University, North Shore-Long Island Jewish Health System, New Hyde Park, New York 11042, USA.
Urology. 2012 May;79(5):1185.e7-11. doi: 10.1016/j.urology.2011.12.037. Epub 2012 Feb 25.
To survey a group of leading academic urologists from North America and abroad about their opinions regarding the educational value, safety, and ethics of live surgical demonstrations.
An anonymous survey pertaining to live clinical demonstrations was sent to all active members of the American Association of Genitourinary Surgeons (AAGUS).
Ninety (50%) members completed the survey. Most respondents had performed at least one live surgical demonstration (93.2% at away institution, 81.5% at home institution). Overall anxiety level as a visiting professor was rated as moderate, high, and very high by 29.8%, 25.0%, and 17.9% of respondents, respectively. Anxiety while performing demonstrations at one's home institution was reported as moderate, high, and very high by 28.2%, 9.9%, and 8.5% of respondents, respectively. Excessive conversation in the operating room was cited as a major distraction by 41.3% of respondents. Concern over the appropriateness of selected cases was reported often (43.9%) and always (13.4%) of the time. Only 28.2% of AAGUS members would let a visiting faculty member operate on them or a family member. Most (70.9%) respondents felt live surgical demonstrations are morally ethical, but only 30.1% stated they should continue indefinitely in their present form.
No studies have been published within the urological literature about live operative demonstrations. Results from the present survey support concerns within the cardiothoracic and endoscopy literature about the continued use of live operative demonstrations. A formal review culminating in the development of an explicit policy statement by urologists should be undertaken.
调查一组来自北美的主要学术泌尿科医生对活体手术演示的教育价值、安全性和伦理学的看法。
向美国泌尿外科学会（AAGUS）的所有活跃成员发送了一份关于活体临床演示的匿名调查。
90 名（50%）成员完成了调查。大多数受访者至少进行过一次活体手术演示（93.2%在外地机构，81.5%在本地机构）。作为客座教授的整体焦虑程度，分别有 29.8%、25.0%和 17.9%的受访者评为中度、高度和非常高。分别有 28.2%、9.9%和 8.5%的受访者报告在其本地机构进行演示时的焦虑程度为中度、高度和非常高。41.3%的受访者认为手术室过度交谈是一个主要干扰因素。经常（43.9%）和总是（13.4%）报告对所选病例的适当性表示担忧。只有 28.2%的 AAGUS 成员会让客座教员为他们或他们的家庭成员做手术。大多数（70.9%）受访者认为活体手术演示在道德上是合理的，但只有 30.1%的人表示应该以目前的形式无限期继续。
泌尿科文献中没有发表过关于活体手术演示的研究。本调查结果支持心胸外科和内窥镜文献中关于继续使用活体手术演示的担忧。应进行正式审查，最终由泌尿科医生制定明确的政策声明。
