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在手术培训资源稀缺的时代培养微创妇科的师徒模式:一名学员进行腹腔镜间质部妊娠子宫角造口术的病例报告

Cultivating the Apprentice-Mentor Model for Minimally Invasive Gynaecology in the Era of Surgically Scarce Training: A Case Report of Laparoscopic Cornuostomy for Interstitial Ectopic Pregnancy by a Trainee.

作者信息

Listijono Dave R, Rosen David M B, Choi Sarah, Bukhari Mujahid, Cario Gregory M, Chou Danny

机构信息

Sydney Women's Endosurgery Centre (SWEC), Sydney, Australia.

IVF Australia, Sydney, Australia.

出版信息

Case Rep Obstet Gynecol. 2021 Mar 6;2021:5560309. doi: 10.1155/2021/5560309. eCollection 2021.

DOI:10.1155/2021/5560309
PMID:33747585
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7960069/
Abstract

Over the last few years, there is an apparent growing concern amongst O&G trainees of the inadequacy in exposure to minimally invasive gynaecology surgical training, which has been inadvertently compounded by the more stringent working hour regulations and disproportionately increasing number of trainees relative to surgical volume. Therefore, it is vitally important for trainees to maximise opportunities in the operating theatre and develop autonomy in carrying out more complex surgical procedures. This case report outlines the step-by-step approach of laparoscopic excision of a cornual ectopic pregnancy performed by a trainee under the supervision of a surgical mentor. This manuscript highlights key characteristic traits of a trainee that serve to foster surgical trust and simple but effective steps to foster surgical preparedness.

摘要

在过去几年中,妇产科住院医师明显越来越担心微创妇科手术培训的机会不足,而更严格的工作时间规定以及相对于手术量而言学员数量不成比例地增加,无意中加剧了这一问题。因此,对于学员来说,在手术室中最大限度地利用机会并在实施更复杂的手术程序时培养自主性至关重要。本病例报告概述了一名学员在手术导师的监督下进行腹腔镜切除宫角异位妊娠的逐步方法。本文强调了有助于建立手术信任的学员关键特质,以及培养手术准备的简单而有效的步骤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e32a/7960069/227b8a4fa76c/CRIOG2021-5560309.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e32a/7960069/08120a5c28ff/CRIOG2021-5560309.001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e32a/7960069/9e7f7b441674/CRIOG2021-5560309.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e32a/7960069/7d7306107227/CRIOG2021-5560309.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e32a/7960069/a02e6fb27255/CRIOG2021-5560309.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e32a/7960069/227b8a4fa76c/CRIOG2021-5560309.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e32a/7960069/08120a5c28ff/CRIOG2021-5560309.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e32a/7960069/1ca72d8182d0/CRIOG2021-5560309.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e32a/7960069/9e7f7b441674/CRIOG2021-5560309.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e32a/7960069/7d7306107227/CRIOG2021-5560309.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e32a/7960069/a02e6fb27255/CRIOG2021-5560309.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e32a/7960069/227b8a4fa76c/CRIOG2021-5560309.006.jpg

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Identification of promotion and prevention associated surgeon behaviors in the operating room to facilitate resident self-regulated learning.识别手术室中与促进和预防相关的外科医生行为,以促进住院医师的自我调节学习。
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Resident Behaviours to Prioritize According to Canadian Plastic Surgeons.
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What do we need to know about anatomy in gynaecology: A Delphi consensus study.关于妇科解剖学我们需要了解什么:一项德尔菲共识研究。
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Factors influencing amount of guidance in the operating room during laparoscopic cases.影响腹腔镜手术中指导量的因素。
Am J Surg. 2019 May;217(5):979-985. doi: 10.1016/j.amjsurg.2019.03.019. Epub 2019 Mar 22.
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The Construction of Surgical Trust: How Surgeons Judge Residents' Readiness for Operative Independence.外科信任的构建:外科医生如何判断住院医师是否具备手术独立的能力。
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Diagnosis and Management of 'Cornual' Pregnancies from 2002 to 2015 at a Tertiary Referral Centre in South India: Insights from Introspection.2002年至2015年印度南部一家三级转诊中心“宫角”妊娠的诊断与管理:反思所得见解
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