Vela Javier, Cárcamo Leonardo, Contreras Caterina, Arenas Claudia, Ramos Juan Pablo, Rebolledo Rolando, Varas Julián, Martínez Jorge, Jarufe Nicolas, Achurra Pablo
Pontificia Universidad Católica de Chile, Digestive Surgery, Santiago, Región Metropolitana, Chile.
Pontificia Universidad Católica de Chile, Simulation and Experimental Surgery Center, Santiago, Región Metropolitana, Chile.
Arq Bras Cir Dig. 2021 May 14;34(1):e1561. doi: 10.1590/0102-672020210001e1561. eCollection 2021.
Level of competence by procedure. Trauma is one of the leading causes of death in the world and proper surgical care is critical to impact mortality. In Chile, trauma associated death ranks first as mortality cause in population between 20 and 59 years old. Appropriate surgical skills are required to deal with these complex patients. Self-confidence to practice trauma procedures after the General Surgery Residency have not been reported in our country.
Describe the level of self-confidence to deal with trauma procedures of surgeons who recently graduated from a General Surgery Residency.
Descriptive cross-sectional study. We designed and applied a survey in 2015, 2016 and 2017 to recently graduated surgeons, to inquire about self-confidence of surgical skills to deal with trauma scenarios. Eighteen trauma surgery procedures (including cervical, thoracic, abdominal and vascular procedures) were evaluated using a 5-grade Likert scale. The number of procedures performed during the residency was also queried.
Eighty-eight recently graduated surgeons from 11 different training programs in Chile were included. The report of competencies was high in procedures such as intestinal injuries, were 98% felt competent or very competent in their repair. On the other hand, in complex traumas such as major vessel injury, up to 76% reported not being competent. Self-confidence on procedures was directly associated with the number of procedures performed during residency.
Recently graduated surgeons from General Surgery Programs report high levels of confidence to deal with low and intermediate complexity traumas, but a lower level of confidence to treat high complexity cases.
按手术程序划分的能力水平。创伤是全球主要死因之一，恰当的外科治疗对于降低死亡率至关重要。在智利，创伤相关死亡是20至59岁人群的首要死因。处理这些复杂患者需要具备适当的外科技能。我国尚未报道普通外科住院医师培训后实施创伤手术的自信心情况。
描述刚完成普通外科住院医师培训的外科医生处理创伤手术的自信心水平。
描述性横断面研究。我们在2015年、2016年和2017年设计并应用了一项调查问卷，面向刚毕业的外科医生，询问他们处理创伤情况的手术技能自信心。使用5级李克特量表评估18种创伤外科手术程序（包括颈部、胸部、腹部和血管手术程序）。同时询问住院医师培训期间所实施手术程序的数量。
纳入了来自智利11个不同培训项目的88名刚毕业的外科医生。对于诸如肠损伤等手术程序，能力报告较高，98%的人认为自己在修复方面有能力或能力很强。另一方面，对于诸如大血管损伤等复杂创伤，高达76%的人报告自己没有能力。手术程序的自信心与住院医师培训期间实施的手术程序数量直接相关。
刚完成普通外科培训项目的外科医生报告称，他们对处理低、中度复杂创伤有较高的自信心，但对处理高复杂病例的自信心较低。
