Kim Duck-Woo, Kim Min Hyun, Kim Hyun Ae, Lee Kil Yeon, Jeong Seung-Yong, Lee Woo Yong
Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.
MediOffice, Seoul, Korea.
Ann Surg Treat Res. 2018 Sep;95(3):121-128. doi: 10.4174/astr.2018.95.3.121. Epub 2018 Aug 31.
A standardized colonoscopy training program surgical residents is still unestablished. The aim of this study was to assess the current status of colonoscopy training for surgical residents and collect the opinions on the direction for future colonoscopy education.
A questionnaire survey containing 24 items was conducted by sending an email to 310 colorectal surgeons in 84 training hospitals across the country.
One hundred fifteen staff surgeons (115 of 310, 37%) of 84 institutions returned fully completed questionnaires. Most surgeons were working at tertiary hospitals with more than 5 years of clinical experience. About half of the responding surgeons answered that they perform colonoscopy in clinical practice and the main purpose of colonoscopy was follow-up after colorectal resection. Only 9 of 84 hospitals (10.7%) had a regular program on colonoscopy training for surgical residents. Most of colonoscopy education was conducted irregularly in a form of staff lecture, conferences or hands-on workshops. According to the future directions, 72 of 115 surgeons (62.6%) answered judging competency in colonoscopy should be needed for professional qualification of the surgeon. About 50 cases of colonoscopy seem appropriate during the 4-year-training of surgical residency, especially during the third- and fourth-year.
This survey shows colonoscopy education for surgical residents is still insufficient in Korea and that most surgeons feel that regular colonoscopy training is needed during the surgical residency period. There needs to be efforts to standardize the education program as well as various institutional and academic societal supports to achieve this goal.
尚未建立针对外科住院医师的标准化结肠镜检查培训项目。本研究旨在评估外科住院医师结肠镜检查培训的现状，并收集关于未来结肠镜检查教育方向的意见。
通过向全国84家培训医院的310名结直肠外科医生发送电子邮件，进行了一项包含24个项目的问卷调查。
84家机构的115名外科医生（310名中的115名，37%）返回了完整填写的问卷。大多数外科医生在拥有超过5年临床经验的三级医院工作。约一半的受访外科医生表示他们在临床实践中进行结肠镜检查，结肠镜检查的主要目的是结直肠切除术后的随访。84家医院中只有9家（10.7%）有针对外科住院医师的常规结肠镜检查培训项目。大多数结肠镜检查教育以员工讲座、会议或实践工作坊的形式不定期进行。根据未来方向，115名外科医生中有72名（62.6%）回答外科医生的专业资格需要具备结肠镜检查能力的评判。在外科住院医师4年培训期间，尤其是在第三年和第四年，约50例结肠镜检查似乎是合适的。
本次调查表明，韩国对外科住院医师的结肠镜检查教育仍然不足，大多数外科医生认为在外科住院医师培训期间需要进行常规的结肠镜检查培训。需要努力使教育项目标准化，并需要各种机构和学术团体的支持来实现这一目标。
