Cohen Mark S
Department of Surgery, University of Michigan School of Medicine, Ann Arbor, MI.
Surgery. 2017 Nov;162(5):989-993. doi: 10.1016/j.surg.2017.06.012. Epub 2017 Aug 1.
The mission of an academic medical center and academic departments of surgery focuses on teaching, scholarship/research, and expertise of clinical care. The standard 4-year medical school curriculum and general surgery residency training are well balanced to expose trainees to these missions in varying degrees, yet the advancement of medicine as a field is predicated on the creation, development, and successful implementation of medical innovations. Surgeons, by virtue of their clinical training, are immersed in medical technology and are continually required to use this technology effectively in combination with their own technical skills and judgment to provide optimal patient care. As such, they routinely face the challenges of current technology and the need for innovation and improvement, leading many to become natural inventors. Having a good idea or innovation to improve patient care, however, is just the starting point of the complex process of implementing that idea in the clinic. Unfortunately, the vast majority of surgeons and medical students have no formal educational training on the innovation process regarding how good ideas can be developed successfully for clinical and commercial implementation. Added to this lack of formal education are the limited resources and time constraints that surgeons, residents, and medical students face in acquiring the educational skill set to adeptly navigate this innovation and entrepreneurial landscape. To address these challenges, the University of Michigan recently created the first pathway of excellence for medical students to focus their passions and interests in medical innovation and entrepreneurship. This program has been transformative for building a new culture of young, motivated medical innovators, many of whom have dedicated their talents already to addressing several key problems in surgical patient care.
学术医学中心及外科学术部门的使命集中于教学、学术研究/科研以及临床护理专业技能。标准的四年制医学院课程和普通外科住院医师培训达到了良好的平衡，使学员能在不同程度上接触到这些使命。然而，医学作为一个领域的进步取决于医学创新的创造、发展及成功实施。外科医生凭借其临床培训，沉浸于医疗技术之中，并且不断被要求将该技术与自身的技术技能和判断力有效结合，以提供最佳的患者护理。因此，他们经常面临当前技术的挑战以及创新和改进的需求，这使得许多人成为了天生的发明家。然而，有一个改善患者护理的好想法或创新，仅仅是在临床中实施该想法这一复杂过程的起点。不幸的是，绝大多数外科医生和医学生没有接受过关于创新过程的正规教育培训，即如何将好想法成功开发用于临床和商业实施。除了这种正规教育的缺失，外科医生、住院医师和医学生在获取教育技能以熟练应对这一创新和创业领域时，还面临着有限的资源和时间限制。为应对这些挑战，密歇根大学最近为医学生创建了首个卓越路径，以专注于他们在医学创新和创业方面的热情与兴趣。该项目对于构建一种年轻且有动力的医学创新者新文化具有变革性意义，其中许多人已经将他们的才华奉献于解决外科患者护理中的几个关键问题。
