Gharapetian Angineh, Chung Frances, Wong David, Wong Jean
Department of Anesthesia, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, ON, M5T 2S8, Canada,
Can J Anaesth. 2015 Apr;62(4):403-12. doi: 10.1007/s12630-014-0299-2. Epub 2014 Dec 17.
Perioperative medicine is emerging as a unique area of medical practice. Anesthesiology graduates are particularly well suited for this role given their training. The purpose of this systematic review is to summarize the various fellowships being offered in perioperative medicine and the scope of clinical perioperative practice that currently exists. The common areas of competency covered in these perioperative medicine fellowships are also identified.
On July 28, 2014, we conducted a search of the literature from January 1, 1946, to July 28, 2014 through MEDLINE®, EMBASE™ and the World Wide Web for definitions of perioperative medicine and for curricula for fellowships in perioperative care throughout the world.
Currently, seven institutions offer postgraduate fellowships in perioperative medicine, including two Canadian universities (University of Manitoba and University of Toronto), two American universities (Stanford University and University of California, Irvine), two Australian institutions (University of Western Australia, and the Alfred Hospital), and one New Zealand site (North Shore Hospital). Apart from fellowships, we also identified other postgraduate training routes. Graduate master's programs in perioperative medicine were identified in the United Kingdom and in Australia. A new intensive five-day perioperative medicine course was also identified. The scope of the curricula of the fellowships, the main focus of our review, is not uniform, although common elements emerged, including a research component and exposure to pain medicine.
There is a paucity of published literature on what perioperative care entails as well as what perioperative fellowship curricula should include. While we suggest certain areas of focus to include, the subspecialty of perioperative medicine would benefit from a cohesive and consensus-based curriculum to which academic fellowships could adhere.
围手术期医学正在成为一个独特的医学实践领域。鉴于麻醉学毕业生所接受的培训，他们尤其适合这一角色。本系统评价的目的是总结围手术期医学提供的各种 fellowship 项目以及当前存在的临床围手术期实践范围。还确定了这些围手术期医学 fellowship 项目涵盖的共同胜任领域。
2014年7月28日，我们通过医学文献数据库（MEDLINE®）、荷兰医学文摘数据库（EMBASE™）和万维网，检索了1946年1月1日至2014年7月28日期间关于围手术期医学定义以及全球围手术期护理 fellowship 项目课程的文献。
目前，有七家机构提供围手术期医学研究生 fellowship 项目，包括两所加拿大大学（曼尼托巴大学和多伦多大学）、两所美国大学（斯坦福大学和加利福尼亚大学欧文分校）、两所澳大利亚机构（西澳大利亚大学和阿尔弗雷德医院）以及一个新西兰机构（北岸医院）。除了 fellowship 项目，我们还确定了其他研究生培训途径。在英国和澳大利亚发现了围手术期医学的研究生硕士项目。还发现了一个新的为期五天的围手术期医学强化课程。我们综述的主要重点——fellowship 项目课程的范围并不统一，尽管出现了一些共同要素，包括研究部分和疼痛医学方面的接触。
关于围手术期护理的内容以及围手术期 fellowship 课程应包括哪些内容，发表的文献很少。虽然我们建议纳入某些重点领域，但围手术期医学亚专业将受益于一个连贯且基于共识的课程，学术 fellowship 项目可以遵循该课程。
