Beasley Spencer W
Christchurch School of Medicine and Health Sciences, University of Otago, Clinical Director of Paediatric Surgery, Christchurch Hospital, Christchurch, New Zealand.
J Pediatr Surg. 2015 Feb;50(2):223-31. doi: 10.1016/j.jpedsurg.2014.11.003. Epub 2014 Nov 7.
The modern paediatric surgeon needs to be competent in multiple domains that extend well beyond their clinical and technical expertise. This article, based on the Journal of Pediatric Surgery Lecture at the BAPS Congress (2014), explores some of these less well understood responsibilities and obligations, including professionalism, leadership, effective clinical teaching, and research. The consequence of falling short in these areas includes risks to our profession as a whole as well as compromising our ability to provide our patients with the best clinical care. Paediatric surgeons have a responsibility to influence the configuration of services to improve the quality of care and equity of access to specialist services for all children in their region. Evidence presented shows how a well-organised and funded regional paediatric surgical service allows children to receive quality treatment closer to home and is reflected in better clinical outcomes, less unnecessary surgery, and fewer complications. A paradigm for support to emerging countries as they increase the capacity and infrastructure of their paediatric surgical services is proposed. The way we judge ourselves and others should relate to our performance across the full scope of roles that a responsible and committed paediatric surgeon is expected to display.
现代儿科外科医生需要在多个领域具备能力，这些领域远远超出了他们的临床和技术专长。本文基于在英国儿科外科学会大会（2014年）上发表的《儿科外科学杂志》讲座，探讨了一些尚未被充分理解的责任和义务，包括专业精神、领导力、有效的临床教学和研究。在这些领域表现不佳的后果包括对我们整个行业构成风险，以及损害我们为患者提供最佳临床护理的能力。儿科外科医生有责任影响服务配置，以提高所在地区所有儿童的护理质量和获得专科服务的公平性。所展示的证据表明，组织良好且资金充足的地区性儿科外科服务如何使儿童能够在离家更近的地方接受高质量治疗，并体现在更好的临床结果、更少的不必要手术和更少的并发症上。本文提出了一种支持新兴国家提高其儿科外科服务能力和基础设施的模式。我们评判自己和他人的方式应该与我们在一名尽责且敬业的儿科外科医生所应展现的全部角色中的表现相关。
