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手术电子日志:向前迈进的一步。

Surgical electronic logbook: A step forward.

作者信息

Gómez Díaz Carlos Javier, Luna Aufroy Alexis, Rebasa Cladera Pere, Serra Pla Sheila, Jurado Ruiz Cristina, Mora López Laura, Serra Aracil Xavier, Navarro Soto Salvador

机构信息

Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Parc Taulí, Sabadell, Barcelona, España.

Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Parc Taulí, Sabadell, Barcelona, España.

出版信息

Cir Esp. 2015 Dec;93(10):651-7. doi: 10.1016/j.ciresp.2014.05.004. Epub 2014 Aug 17.

DOI:10.1016/j.ciresp.2014.05.004
PMID:25139554
Abstract

INTRODUCTION

The surgical electronic logbook (surgical e-logbook) aims to: simplify registration of the training activities of surgical residents, and to obtain reliable and detailed reports about these activities for resident evaluation.

METHODS

The surgical e-logbook is a unique and shared database. Residents prospectively record their activities in 3 areas: surgical, scientific and teaching. We can access activity reports that are constantly updated.

RESULTS

Study period using the surgical e-logbook: Between June 2011 and May 2013. Number of surgeries reported: 4,255. Number of surgical procedures reported: 11,907. Number of surgeries per resident per year reported: 250. Number of surgical procedures per resident per year reported: 700. Surgical activity as a primary surgeon during the first year of residency is primarily in emergency surgery (68,01%) and by laparotomy (97,73%), while during the fifth year of residency 51,27% is performed in elective surgery and laparoscopy is used in 23,10% of cases. During this period, residents participated in a total of 11 scientific publications, 75 conference presentations and 69 continuing education activities.

CONCLUSIONS

The surgical e-logbook is a useful tool that simplifies the recording and analysis of data about surgical and scientific activities of the residents. It is a step forward in the evaluation of the training of surgical residents, however, is only an intermediate step towards the development of a larger Spanish registry.

摘要

引言

手术电子日志旨在:简化外科住院医师培训活动的记录,并获取有关这些活动的可靠且详细的报告以用于住院医师评估。

方法

手术电子日志是一个独特的共享数据库。住院医师前瞻性地记录他们在三个领域的活动:手术、科研和教学。我们可以获取不断更新的活动报告。

结果

使用手术电子日志的研究时间段:2011年6月至2013年5月。报告的手术数量:4255例。报告的手术操作数量:11907例。每位住院医师每年报告的手术数量:250例。每位住院医师每年报告的手术操作数量:700例。住院医师第一年作为主刀医生的手术活动主要是急诊手术(68.01%)且通过剖腹手术进行(97.73%),而在住院医师第五年,51.27%的手术为择期手术,23.10%的病例使用腹腔镜手术。在此期间,住院医师共参与了11篇科学出版物、75次会议发言和69项继续教育活动。

结论

手术电子日志是一个有用的工具,它简化了住院医师手术和科研活动数据的记录与分析。它是外科住院医师培训评估方面的一个进步,然而,这只是朝着建立一个更大的西班牙登记系统发展的中间步骤。

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