在综合医院环境中获得更高的外科培训机会；把握平衡。

Higher surgical training opportunities in the general hospital setting; getting the balance right.

机构信息

Department of Surgery, Mayo General Hospital, Castlebar, Co Mayo, Ireland,

出版信息

Ir J Med Sci. 2013 Dec;182(4):589-93. doi: 10.1007/s11845-013-0932-z. Epub 2013 Mar 14.

DOI:10.1007/s11845-013-0932-z

PMID:23494706

Abstract

BACKGROUND

The general hospital can play an important role in training of higher surgical trainees (HSTs) in Ireland and abroad. Training opportunities in such a setting have not been closely analysed to date.

AIMS

The aim of this study was to quantify operative exposure for HSTs over a 5-year period in a single institution.

METHODS

Analysis of electronic training logbooks (over a 5-year period, 2007-2012) was performed for general surgery trainees on the higher surgical training programme in Ireland. The most commonly performed adult and paediatric procedures per trainee, per year were analysed.

RESULTS

Standard general surgery operations such as herniae (average 58, range 32-86) and cholecystectomy (average 60, range 49-72) ranked highly in each logbook. The most frequently performed emergency operations were appendicectomy (average 45, range 33-53) and laparotomy for acute abdomen (average 48, range 10-79). Paediatric surgical experience included appendicectomy, circumcision, orchidopexy and hernia/hydrocoele repair. Overall, the procedure most commonly performed in the adult setting was endoscopy, with each trainee recording an average of 116 (range 98-132) oesophagogastroduodenoscopies and 284 (range 227-354) colonoscopies.

CONCLUSIONS

General hospitals continue to play a major role in the training of higher surgical trainees. Analysis of the electronic logbooks over a 5-year period reveals the high volume of procedures available to trainees in a non-specialist centre. Such training opportunities are invaluable in the context of changing work practices and limited resources.

摘要

背景

综合医院在培训国外和爱尔兰的高年住院医师（HST）方面可以发挥重要作用。迄今为止，尚未对这种环境下的培训机会进行密切分析。

目的

本研究的目的是在单一机构中量化 HST 在 5 年内的手术经验。

方法

对爱尔兰高级外科培训计划中的普通外科住院医师的电子培训日志（5 年，2007-2012 年）进行了分析。对每位受训者每年最常进行的成人和儿科手术进行了分析。

结果

疝（平均 58 例，范围 32-86 例）和胆囊切除术（平均 60 例，范围 49-72 例）等标准普外科手术在每个日志中均排名很高。最常进行的急诊手术是阑尾切除术（平均 45 例，范围 33-53 例）和剖腹探查治疗急性腹痛（平均 48 例，范围 10-79 例）。小儿外科手术包括阑尾切除术、包皮环切术、睾丸固定术和疝/鞘膜积液修复术。总体而言，成人手术中最常进行的手术是内窥镜检查，每位受训者平均记录了 116 次（范围 98-132 次）食管胃十二指肠镜检查和 284 次（范围 227-354 次）结肠镜检查。