Barsness Katherine A
Division of Pediatric Surgery, Ann and Robert H. Lurie Children׳s Hospital of Chicago, Northwestern University Feinberg School of Medicine, 225 E Chicago Ave, Box 63, Chicago, Illinois 60614.
Semin Pediatr Surg. 2015 Jun;24(3):130-3. doi: 10.1053/j.sempedsurg.2015.02.011. Epub 2015 Mar 3.
Traditional opportunistic and experiential surgical training can expose patients to excess risk of harm, particularly when new technology or surgical approaches are applied to highly complex operations. Declining birth rates, decreasing academic regionalization of complex neonatal procedures, duty hour restrictions, and the increasing need for highly specialized surgical skills all serve to further degrade the educational opportunities for surgical trainees. Even more concerning, practicing pediatric surgeons are also struggling with declines in neonatal surgical volumes, with fewer opportunities to maintain established cognitive, technical, and nontechnical skills in the operating room. In an effort to balance patient safety with a deeply rooted commitment to surgical education, surgical educators have developed a number of innovative educational strategies to achieve these goals.
传统的机会主义和经验主义外科培训可能会使患者面临额外的伤害风险，尤其是在将新技术或手术方法应用于高度复杂的手术时。出生率下降、复杂新生儿手术的学术区域化减少、工作时间限制以及对高度专业化手术技能的需求不断增加，所有这些都进一步降低了外科实习生的教育机会。更令人担忧的是，执业儿科外科医生也在努力应对新生儿手术量的下降，在手术室中维持既定的认知、技术和非技术技能的机会越来越少。为了在确保患者安全与对外科教育的坚定承诺之间取得平衡，外科教育工作者制定了一些创新的教育策略来实现这些目标。
