Hemmat Shirin, Wang Steven J, Ryan William R
School of Medicine, University of California-San Francisco, San Francisco, CA.
Division of Head and Neck Oncologic and Endocrine Surgery, Department of Otolaryngology-Head and Neck Surgery, University of California-San Francisco, San Francisco, CA.
Am J Otolaryngol. 2016 Sep-Oct;37(5):431-5. doi: 10.1016/j.amjoto.2016.04.002. Epub 2016 May 4.
There is a paucity of evidence on how neck dissection (ND) technique is best learned.
Online survey of the American Head and Neck Society (AHNS).
283 of the 1010 (28%) AHNS surgeon members completed the survey. Most respondents had 3-4 mentors [n=157 (55.5%)] that they felt were most influential their ND technique. 134 (47.3% of surgeons who completed a fellowship) felt that fellowship training had the most impact on their ND technique. Most respondents ranked the most effective methods of learning ND operative technique in the following order: 1) physically performing the operation yourself (70.1%), 2) observing the attending perform maneuvers independent of verbal teaching (37.7%) and 3) verbal teaching by an attending in the operating room independent of actual maneuvers (36.3%).
When learning an ND, the most benefit comes from empirical learning in the context a small group of surgeon mentors.
关于如何最好地学习颈部解剖术（ND）技术的证据很少。
对美国头颈学会（AHNS）进行在线调查。
1010名AHNS外科医生成员中有283人（28%）完成了调查。大多数受访者有3至4名他们认为对其ND技术最有影响力的导师[n = 157（55.5%）]。134人（占完成专科培训的外科医生的47.3%）认为专科培训对其ND技术影响最大。大多数受访者将学习ND手术技术的最有效方法按以下顺序排列：1）自己实际进行手术（70.1%），2）观察主治医生独立于口头教学进行操作（37.7%），3）主治医生在手术室独立于实际操作进行口头教学（36.3%）。
学习ND时，最大的益处来自在一小群外科医生导师指导下的经验学习。
