Breast & Surgical Oncology, The Poche Centre, 40 Rocklands Rd, North Sydney, NSW, 2060, Australia; The University of Sydney, Northern Clinical School, NSW, 2006, Australia; The Mater Hospital, North Sydney, NSW, 2060, Australia; Royal North Shore Hospital, St Leonards, NSW, 2065, Australia.
Breast & Surgical Oncology, The Poche Centre, 40 Rocklands Rd, North Sydney, NSW, 2060, Australia; The University of Sydney, Northern Clinical School, NSW, 2006, Australia.
Eur J Surg Oncol. 2019 Oct;45(10):1821-1826. doi: 10.1016/j.ejso.2019.05.014. Epub 2019 May 16.
Breast surgeon training has been restructured since the inception of Breast Surgeons of Australia and New Zealand Inc. (BreastSurgANZ) in 2010. In 2016 a voluntary online course with a contemporary curriculum for breast surgery was initiated and taken up by the majority of post-fellowship trainees (PFTs). This article reports on PFT's perceptions of these major changes.
A 46-item online survey was sent to the 56 PFTs enrolled in 2015-2017. The survey canvassed PFT's views on aspects of the two-year training program, the Graduate Certificate in Breast Surgery (GCBS) and the role of BreastSurgANZ in training.
33/56 participants responded. The training program was rated positively with variation in satisfaction levels depending on operating experience and quality of training between clinical placements. The majority of respondents endorsed restricting numbers of training positions. GCBS students valued the clinical knowledge and structured format of the course. A range of diverse, often opposing, opinions were expressed on the appropriate role of BreastSurgANZ in training and accreditation.
The dissonance caused by variability in training exposure and perceived mentor quality in different sites was the most important finding. The GCBS was well regarded by all students but time constraints and costs prevented some PFTs from undertaking the course. Standardisation of mandatory requirements for full BreastSurgANZ membership was identified as an issue for further consideration.
This evaluation illuminates the challenges of providing consistently high quality breast surgical training. Many of the issues raised are being addressed by BreastSurgANZ.
自 2010 年澳大利亚和新西兰乳腺外科医生协会（BreastSurgANZ）成立以来，乳腺外科医生的培训已经进行了重组。2016 年，启动了一门具有当代乳腺外科课程的自愿在线课程，大多数毕业后培训生（PFT）都参加了该课程。本文报告了 PFT 对这些重大变化的看法。
向 2015-2017 年注册的 56 名 PFT 发送了一份 46 项在线调查。该调查询问了 PFT 对两年培训计划、乳腺外科研究生证书（GCBS）以及 BreastSurgANZ 在培训中的作用的看法。
33/56 名参与者做出了回应。培训计划得到了积极评价，但满意度水平因手术经验和临床实习之间的培训质量而异。大多数受访者赞成限制培训名额。GCBS 学生重视课程的临床知识和结构化格式。对于 BreastSurgANZ 在培训和认证中的适当作用，表达了一系列不同的、常常相互矛盾的意见。
不同地点培训暴露和感知导师质量的差异所引起的不和谐是最重要的发现。GCBS 受到所有学生的好评，但时间限制和成本使一些 PFT 无法参加该课程。标准化全面加入 BreastSurgANZ 的强制性要求被认为是需要进一步考虑的问题。
这项评估阐明了提供始终高质量乳腺外科培训的挑战。许多提出的问题正在由 BreastSurgANZ 解决。
