培养未来的喉科医生——仅进行头颈方面的培训是不够的。
Training tomorrow's laryngologists - head and neck training alone is not sufficient.
作者信息
De Zoysa N, Amin N, Harries M
机构信息
Department of Otorhinolaryngology/Head and Neck Surgery, Royal Sussex County Hospital, Brighton, UK.
出版信息
J Laryngol Otol. 2013 Oct;127(10):1001-6. doi: 10.1017/S0022215113001989. Epub 2013 Sep 25.
BACKGROUND
Diagnostic ability is essential in laryngology. The UK Higher Surgical Training syllabus includes competencies specific to laryngology. This study aimed to identify the factors in training that lead to a consultant level of laryngology-related diagnostic ability.
METHOD
An online test of training experience was constructed using laryngoscopy videos obtained from a specialist UK voice clinic. Participation was aimed at both trainees and trainers via invitation through national ENT forums.
RESULTS
There were 51 complete responses. Trainees with six months of laryngology experience scored significantly higher than those without this experience (p < 0.001). There was no improvement in score demonstrated for those with head and neck specialty experience without laryngology experience. Trainees who had completed 12 months of laryngology, or 6 months of laryngology coupled with 12 months of head and neck training, scored similarly to their consultant trainers.
CONCLUSION
It is recommended that all trainees have at least six months of experience in a specialist voice or laryngology placement prior to gaining the Certificate of Completion of Training.
背景
诊断能力在喉科学中至关重要。英国高等外科培训大纲包含了喉科学的特定能力要求。本研究旨在确定培训中导致达到顾问级喉科学相关诊断能力的因素。
方法
利用从英国一家专业嗓音诊所获取的喉镜视频构建了一份关于培训经历的在线测试。通过全国耳鼻喉科论坛邀请学员和培训师参与。
结果
共收到51份完整回复。有六个月喉科学经验的学员得分显著高于没有该经验的学员（p < 0.001）。有头颈专科经验但无喉科学经验的学员得分没有提高。完成12个月喉科学培训，或6个月喉科学培训加上12个月头颈培训的学员，得分与他们的顾问培训师相似。
结论
建议所有学员在获得培训结业证书之前，至少有六个月在专业嗓音或喉科学岗位的经验。
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