Baylor University Medical Center, Dallas, TX, United States.
University of Toronto, Toronto, Ontario, Canada.
Am J Surg. 2018 Aug;216(2):331-336. doi: 10.1016/j.amjsurg.2017.08.015. Epub 2017 Aug 25.
To assess the impact of participation of multiorgan procurement (MP) by general surgery (GS) residents on surgical knowledge and skills, a prospective cohort study of GS residents during transplant surgery rotation was performed.
Before and after participation in MPs, assessment of knowledge was performed by written pre and post tests and surgical skills by modified Objective Structured Assessment of Technical Skill (OSATS) score. Thirty-nine residents performed 84 MPs.
Significant improvement was noted in the written test scores (63.3% vs 76.7%; P < 0.001). Better surgical score was associated with female gender (15.4 vs 13.3, P = <0.01), prior MP experience (16.2 vs 13.7, P = 0.03), and senior level resident (15.1 vs 13.0, P = 0.03). Supraceliac aortic dissection (P = 0.0017) and instrument handling (P = 0.041) improved with more MP operations.
Participation in MP improves residents' knowledge of abdominal anatomy and surgical technique.
为了评估普通外科（GS）住院医师参与多器官获取（MP）对手术知识和技能的影响，对移植手术轮转期间 GS 住院医师进行了一项前瞻性队列研究。
在参与 MPs 前后，通过书面的预测试和后测试评估知识，通过改良的客观结构化评估技术技能（OSATS）评分评估手术技能。39 名住院医师完成了 84 次 MPs。
书面测试成绩显著提高（63.3%比 76.7%；P<0.001）。更好的手术评分与女性性别（15.4 比 13.3，P<0.01）、之前的 MPs 经验（16.2 比 13.7，P=0.03）和高级住院医师（15.1 比 13.0，P=0.03）有关。更高的 MPs 操作次数与膈上主动脉夹层（P=0.0017）和器械处理（P=0.041）的改善有关。
参与 MPs 可提高住院医师对腹部解剖和手术技术的知识。
