Dickinson Karen J, Bass Barbara L, Pei Kevin Y
Department of Surgery, Houston Methodist Hospital, Houston, Texas.
George Washington University School of Medicine and Health Services, Washington, District of Columbia.
J Surg Educ. 2021 May-Jun;78(3):717-727. doi: 10.1016/j.jsurg.2020.09.026. Epub 2020 Nov 5.
Patients are integral to surgical training. Understanding our patients' perceptions of surgical training, resident involvement and autonomy is crucial to optimizing surgical education and thus patient care. In the modern, connected world many factors extrinsic to a patient's experience of healthcare may influence their opinion of our training systems (i.e., social media, television shows, and internet searches). The purpose of this article is to contextualize the literature investigating public perceptions of general surgery training to allow us to effect patient education initiatives to optimize both surgical training and patient safety.
This is a perspective including a literature review summarizing the current knowledge of public perceptions of general surgery training.
Little is published regarding patient and public perceptions of general surgery residency training and the role of residents within this. Current literature demonstrates that the majority of patients are willing to have residents participate in their care. Patients' attitude toward resident involvement in their operation is improved by utilizing educational materials and by ensuring a supervising attending is present within the operating room. These observations, coupled with future work to delve deeper into factors affecting public perceptions of surgical training and resident involvement within this, can guide strategies to improve surgical education.
患者是外科培训不可或缺的一部分。了解患者对外科培训、住院医师参与情况及自主性的看法，对于优化外科教育进而改善患者护理至关重要。在现代互联互通的世界中，许多患者医疗体验之外的因素可能会影响他们对我们培训体系的看法（例如社交媒体、电视节目和网络搜索）。本文旨在梳理有关公众对外科培训认知的文献，以便我们开展患者教育活动，优化外科培训和患者安全。
这是一篇观点文章，包括对公众对外科培训认知的现有知识进行综述的文献回顾。
关于患者及公众对外科住院医师培训的看法以及住院医师在其中的作用，相关发表内容较少。现有文献表明，大多数患者愿意让住院医师参与其护理。通过使用教育材料以及确保手术室中有指导主治医生在场，可以改善患者对住院医师参与其手术的态度。这些观察结果，再加上未来深入探究影响公众对外科培训认知及住院医师参与情况的因素的工作，可为改善外科教育的策略提供指导。
