Garcia-Estrada Everardo, Morales-Gómez Jesús A, Delgado-Brito Miriam, Martínez-López Ari A, Flores-Huerta Luis E, Martínez-Ponce de León Ángel R
Servicio de Neurocirugía y Terapia Endovascular Neurológica, Hospital Universitario Dr. José Eleuterio González, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México.
Servicio de Neurocirugía y Terapia Endovascular Neurológica, Hospital Universitario Dr. José Eleuterio González, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México.
Neurocirugia (Engl Ed). 2020 Mar-Apr;31(2):87-92. doi: 10.1016/j.neucir.2019.09.001. Epub 2019 Oct 23.
To quantify the surgical experience acquired by residents in the neurosurgery specialisation programme over a 6-month period.
A total of 13 residents enrolled in the neurosurgery specialisation programme from February 2018 to July 2018. Over this period, the procedures residents were involved in and the role they played were documented in the Electronic Neurosurgical Register. Residents who withdrew from the specialisation program were excluded.
A total of 530 procedures were performed during the study period. Observational learning and supervised practice are conducted primarily in the first and fifth years of residence, during which residents begin their training in emergency and elective surgeries, respectively. Residents are then able to independently perform emergency surgeries during the second and third years, and elective surgeries in the sixth year. Residents are able to instruct less experienced surgeons in the fourth year.
The Electronic Neurosurgical Register is an innovative technological tool that supports the fields of care, teaching and research. It records the exact number of patients who have undergone surgery at a particular time, providing valuable information for the proper management of resources. The data obtained can be used to identify areas of opportunity in the training of residents, facilitating the development of continuous improvement strategies in the training of competent neurosurgeons.
量化神经外科专科培训项目住院医师在6个月期间所获得的手术经验。
2018年2月至2018年7月期间，共有13名住院医师参加神经外科专科培训项目。在此期间，住院医师参与的手术过程及其所扮演的角色均记录在电子神经外科登记册中。退出专科培训项目的住院医师被排除在外。
研究期间共实施了530例手术。观察性学习和带教实践主要在住院医师培训的第一年和第五年进行，在此期间，住院医师分别开始急诊手术和择期手术的培训。然后，住院医师在第二年和第三年能够独立进行急诊手术，在第六年能够独立进行择期手术。住院医师在第四年能够指导经验较少的外科医生。
电子神经外科登记册是一种创新技术工具，可支持护理、教学和研究领域。它记录了特定时间接受手术的患者的确切数量，为资源的合理管理提供了有价值的信息。所获得的数据可用于识别住院医师培训中的机会领域，促进制定培养合格神经外科医生的持续改进策略。
