Prasad Nikhil K, Kvasnovsky Charlotte, Wise Eric S, Kavic Stephen M
Department of Surgery, University Of Maryland Medical Center, Baltimore, Maryland.
Department of Surgery, University Of Maryland Medical Center, Baltimore, Maryland.
J Surg Educ. 2018 Mar-Apr;75(2):271-277. doi: 10.1016/j.jsurg.2017.07.004. Epub 2017 Jul 27.
Left-handed (LH) residents remain underrepresented among surgical trainees, and there are few available data on how best to train them. The challenge is amplified when pairing a LH resident with a right-handed (RH) mentor. This report provides recommendations on how to improve the training of LH surgeons in a safe and effective manner.
A comprehensive literature review was performed using different databases and search engines to identify all articles relevant to the training of LH residents.
A total of 40 articles highlighted the challenges for LH surgical residents and RH mentors. Our recommendations are based on the following 4 themes: identifying inherent differences in left vs. RH residents, providing guidance to RH mentors training LH residents, adapting the RH environment to the LH surgeon, and maximizing safety during training.
An organized approach needs to be taken in training the LH resident. Changes should be instituted at program-wide and national levels to ensure that the training experience of the sinistral surgical resident is optimized.
左利手（LH）住院医师在外科实习生中所占比例仍然较低，而且关于如何以最佳方式培训他们的可用数据很少。当将左利手住院医师与右利手（RH）带教老师配对时，这一挑战会更加突出。本报告就如何以安全有效的方式改进左利手外科医生的培训提供建议。
使用不同的数据库和搜索引擎进行全面的文献综述，以识别所有与左利手住院医师培训相关的文章。
共有40篇文章强调了左利手外科住院医师和右利手带教老师面临的挑战。我们的建议基于以下4个主题：识别左利手与右利手住院医师的内在差异、为培训左利手住院医师的右利手带教老师提供指导、使右利手环境适应左利手外科医生以及在培训期间最大限度地提高安全性。
在培训左利手住院医师时需要采取有组织的方法。应在项目层面和国家层面进行变革，以确保优化左利手外科住院医师的培训体验。
