Ilonen Ilkka K, McElnay Philip J
1 Clinic of General Thoracic and Oesophageal Surgery, Heart and Lung Centre, Helsinki University Central Hospital, Helsinki, Finland ; 2 Department of Cardiothoracic Surgery, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
J Thorac Dis. 2015 Apr;7(Suppl 2):S118-21. doi: 10.3978/j.issn.2072-1439.2015.03.14.
Thoracic surgery training within Europe is diverse and a consensus may help to harmonise the training. Currently, training for thoracic surgery compromises thoracic, cardiothoracic and aspects of general surgical training. The recognition of specialist degrees should be universal and equal. Between different nations significant differences in training exist, especially in general surgery rotations and in the role of oesophageal surgery. The European board examination for thoracic surgery is one of the key ways to achieve harmonisation within the European Union (EU) and internationally. Further support and encouragement may be beneficial to promote diverse and engaging fellowships and clinical exchange programmes between nations. International fellowships may even benefit young residents, in both clinical and academic settings. Many studies currently would benefit from multi-centre and multi-national design, enhancing the results and giving better understanding of clinical scenarios. Educational content provided by independent organisations should be more recognised as an integral part in both resident training and continuing development throughout surgeons' careers. During annual society meetings, trainees should have some sessions that are aimed at enhancing their training and establishing networks of international peers.
欧洲范围内的胸外科培训多种多样,达成共识可能有助于使培训更加统一。目前,胸外科培训涵盖了胸科、心胸外科以及普通外科培训的各个方面。专科文凭的认可应该是普遍且平等的。不同国家之间在培训方面存在显著差异,尤其是在普通外科轮转以及食管外科的作用方面。欧洲胸外科委员会考试是在欧盟内部以及国际上实现统一的关键途径之一。进一步的支持和鼓励可能有助于促进各国之间多样化且引人入胜的进修项目和临床交流计划。国际进修项目甚至可能使年轻住院医师在临床和学术环境中都受益。目前,许多研究将受益于多中心和多国设计,从而提高研究结果,并更好地理解临床情况。独立组织提供的教育内容应更被视为住院医师培训以及外科医生整个职业生涯持续发展中不可或缺的一部分。在年度协会会议期间,学员应有一些旨在加强培训并建立国际同行网络的环节。