脊柱外科进修经验：一项定量分析。
Experience of a fellowship in spinal surgery: a quantitative analysis.
机构信息
University of Nottingham, Nottingham, UK,
出版信息
Eur Spine J. 2014 Apr;23 Suppl 1(Suppl 1):S40-54. doi: 10.1007/s00586-014-3209-y. Epub 2014 Feb 19.
OBJECTIVES
The objective of our paper was to ascertain the self-reported competency level of surgeons who had completed a 1-year spine fellowship versus those who had not. Our secondary objective was to determine whether there was any difference between orthopaedic and neurosurgeons.
METHODS
A 60 question online questionnaire was provided to AOSpine Europe members for completion online.
RESULTS
289 members provided a response, of which 64% were orthopaedic surgeons and 31% neurosurgeons (5% did not specify). Eighty (28%) had completed a 1-year fellowship. Theoretical and practical knowledge of the management of spinal deformity was the greatest difference seen upon completing a fellowship. Multiple elective and emergent conditions were demonstrated to have a significant difference upon completion of a fellowship. There was no difference between orthopaedic surgeons and neurosurgeons.
CONCLUSIONS
In order to provide an efficient and safe service covering the broad spectrum of spinal pathology, a formal spine fellowship, ideally with a formal curriculum, should be considered.
目的
本文旨在确定完成 1 年脊柱专科培训的外科医生与未完成培训的外科医生自我报告的能力水平。我们的次要目的是确定骨科医生和神经外科医生之间是否存在差异。
方法
向 AOSpine Europe 成员提供了一份 60 个问题的在线问卷，供其在线完成。
结果
289 名成员作出了回应，其中 64%为骨科医生，31%为神经外科医生（5%未具体说明）。80 人（28%）完成了为期 1 年的专科培训。完成培训后，在脊柱畸形管理方面的理论和实践知识方面存在最大差异。多项选择性和紧急性病症在完成培训后表现出显著差异。骨科医生和神经外科医生之间没有差异。
结论
为了提供涵盖广泛脊柱病变的高效和安全服务，应考虑进行正式的脊柱专科培训，理想情况下应具有正式的课程设置。
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