Greene F L, Howard M L
Department of Surgery, University of South Carolina School of Medicine, Columbia 29203.
Am Surg. 1989 Feb;55(2):77-80.
Between January and December 1987, a survey was sent to all Chiefs of Surgery in the Veterans Administration Healthcare System to assess current practices of surgical endoscopy. Results of this survey have shown a significant involvement in flexible gastrointestinal endoscopic procedures by most surgical services, especially those affiliated with major resident teaching programs. Total number of procedures performed, based on the projections of numbers of cases as reported, indicate that approximately 60,000 gastrointestinal endoscopic procedures are currently performed by surgeons each year in the Veterans Administration system in order to assess the greater than 90,000 gastrointestinal operations performed. Results of the survey also indicate that Chiefs of Surgery in the VA system enjoy a wide range of support by Gastrointestinal (GI) Medical Services in the VA, but generally this support is adequate. Part-time and full-time surgeons in the VA need to increase overall Continuing Education activities in endoscopy as well as increase the number of surgeons affiliated with organizations interested in endoscopic care.
1987年1月至12月期间，向退伍军人管理局医疗系统的所有外科主任发送了一份调查问卷，以评估当前外科内窥镜检查的实践情况。这项调查结果显示，大多数外科科室都大量参与了柔性胃肠内窥镜检查程序，尤其是那些隶属于主要住院医师教学项目的科室。根据所报告的病例数预测，每年外科医生在退伍军人管理局系统中进行的胃肠内窥镜检查程序总数约为60000例，以便对超过90000例胃肠手术进行评估。调查结果还表明，退伍军人管理局系统中的外科主任得到了退伍军人管理局胃肠（GI）医疗服务部门的广泛支持，但总体而言这种支持是足够的。退伍军人管理局的兼职和全职外科医生需要增加内窥镜检查方面的整体继续教育活动，并增加隶属于对内窥镜护理感兴趣组织的外科医生数量。
