From the Division of General Surgery, University of Toronto, Toronto, Ont. (Guidolin, Quereshy); the Division of Neurosurgery, University of Toronto, Toronto, Ont. (Yan); and the Toronto Western Hospital, University Health Network, Toronto, Ont. (Quereshy).
Can J Surg. 2020 May 1;63(3):E208-E210. doi: 10.1503/cjs.005919.
In the decade since its inception, the World Health Organization's surgical safety checklist has fundamentally changed the conduct of surgery the world over. A critical component of the checklist - the "pause" or "time-out" - requires all operating room staff to stop other activities and together review critical information about the case to ensure that nothing is missed. Surgical trainees in Canada are transitioning to a competency-based medical education model; a core aspect of this model requires trainees to advocate for their own learning goals. We propose the use of a detailed and formalized preoperative pause as a means to enable superior and more targeted intraoperative learning for surgical trainees.
自成立以来的十年中，世界卫生组织的手术安全检查表从根本上改变了全球的手术操作方式。检查表的一个关键组成部分是“暂停”或“超时”，要求所有手术室工作人员停止其他活动，共同审查有关病例的关键信息，以确保不会遗漏任何内容。加拿大的外科住院医师正在向以能力为基础的医学教育模式过渡；该模式的一个核心方面要求住院医师为自己的学习目标辩护。我们建议使用详细和规范化的术前暂停，作为一种手段，为外科住院医师提供更好和更有针对性的术中学习。
