Trauma and Orthopedics, Addenbrooke's Hospital, Cambridge, United Kingdom.
J Surg Educ. 2013 Jan-Feb;70(1):104-8. doi: 10.1016/j.jsurg.2012.07.006. Epub 2012 Nov 24.
The ever-growing population of the UK has resulted in increasing demands on its healthcare service. Changes have been introduced in the UK medical training system to avoid loss of training time and make it more focused and productive. Modernizing medical careers (MMC) was introduced in 2005. This promised to reduce the training period for a safe trauma specialist, in trauma and orthopedics, to 10 years. At around the same time, the European Working Time Directive (EWTD) was introduced to reduce the working hours for junior doctors in training, to improve patient safety and also work-life balance of junior doctors. Introduction of the assessment tools from Orthopedic Competency assessment project (OCAP) will help tailor the training according to the needs of the trainee. The aim of this article is to review the changes in the UK orthopedic surgical training over the past two decades.
英国不断增长的人口导致对其医疗服务的需求不断增加。为了避免培训时间的损失，并使其更加集中和富有成效，英国的医疗培训系统已经进行了改革。2005 年推出了现代医学职业（MMC）。这一计划承诺将创伤和骨科安全创伤专家的培训期缩短至 10 年。与此同时，引入了欧洲工作时间指令（EWTD），以减少接受培训的初级医生的工作时间，提高患者安全性，并平衡初级医生的工作与生活。引入骨科能力评估项目（OCAP）的评估工具将有助于根据学员的需求定制培训。本文的目的是回顾过去二十年英国骨科手术培训的变化。
