居民手术创伤趋势：如何培养未来的创伤外科医生？
Trends in resident operative trauma: How to train future trauma surgeons?
机构信息
Michael E. DeBakey Department of Surgery, Baylor College of Medicine, One Baylor Plaza, MS: BCM390, Houston, TX, 77030, USA.
Michael E. DeBakey Department of Surgery, Baylor College of Medicine, One Baylor Plaza, MS: BCM390, Houston, TX, 77030, USA.
出版信息
Am J Surg. 2019 Dec;218(6):1156-1161. doi: 10.1016/j.amjsurg.2019.09.008. Epub 2019 Sep 13.
BACKGROUND
Trauma is an essential content area of general surgery residency. The objective of this study was to assess trends in the operative trauma experience by general surgery residents.
METHODS
This was a retrospective review of available ACGME case log reports (the past 29 years) for general surgery residents.
RESULTS
Over the study period, the total operative trauma cases as surgeon decreased from 79.6 to 29.9, (p < 0.001), gastrointestinal cases decreased from 10.6 to 4.0, (p < 0.001), and vascular cases decreased from 8.6 to 4.5, (p < 0.001). The median number of trauma cases in which residents reported a teaching assistant role fell from 5 to 1 (p < 0.001) and as a first assistant declined from 17 to 1 (p < 0.001).
CONCLUSIONS
Over the past 29 years, the operative trauma experience of general surgery residents has dramatically decreased. The decline is multifactorial but brings sharp focus on resident education in operative trauma.
背景
创伤是普通外科住院医师培训的重要内容领域。本研究的目的是评估普通外科住院医师手术创伤经验的趋势。
方法
这是对普通外科住院医师可用的 ACGME 病例日志报告（过去 29 年）的回顾性分析。
结果
在研究期间，作为外科医生的总手术创伤病例从 79.6 例降至 29.9 例（p<0.001），胃肠道病例从 10.6 例降至 4.0 例（p<0.001），血管病例从 8.6 例降至 4.5 例（p<0.001）。报告有教学助理角色的创伤病例数量中位数从 5 例降至 1 例（p<0.001），作为第一助手的比例从 17 例降至 1 例（p<0.001）。
结论
在过去的 29 年中，普通外科住院医师的手术创伤经验显著减少。这种下降是多方面的，但尖锐地关注了手术创伤方面的住院医师教育。
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