Department of Surgery and Cancer, Imperial College London, London, UK.
1st Department of Surgery, University of Pavol Jozef Safarik, Kosice, Slovak Republic.
Surg Endosc. 2022 Apr;36(4):2430-2435. doi: 10.1007/s00464-021-08525-8. Epub 2021 Jun 8.
The European Association of Endoscopic Surgery (EAES) fellowship programme was established in 2014, allowing nine surgeons annually to obtain experience and skills in minimally invasive surgery (MIS) from specialist centres across the Europe and United States. It aligns with the strategic focus of EAES Education and Training Committee on enabling Learning Mobility opportunities. To assess the impact of the programme, a survey was conducted aiming to evaluate the experience and impact of the programme and receive feedback for improvements.
A survey using a 5-point Likert scale was used to evaluate clinical, education and research experience. The impact on acquisition of new technical skills, change in clinical practice and ongoing collaboration with the host institute was assessed. The fellows selected between 2014 and 2018 were included. Ratings were analysed in percentage; thematic analysis was applied to the free-text feedbacks using qualitative analysis.
All the fellows had good access to observing in operating theatres and 70.6% were able to assist. 91.2% participated in educational activities and 23.5% were able to contribute through teaching. 44.1% participated in research activities and 41.2% became an author/co-author of a publication from the host. 97.1% of fellows stated that their operative competency had increased, 94.3% gained new surgical skills and 85.7% was able to introduce new techniques in their hospitals. 74.29% agreed that the clinical experience led to a change in their practices. The most commonly suggested improvements were setting realistic target in clinical and research areas, increasing fellowship duration, and maximising theatre assisting opportunities. Nevertheless, 100% of fellows would recommend the fellowship to their peers.
EAES fellowship programme has shown a positive impact on acquiring and adopting new MIS techniques. To further refine the programme, an individualised approach should be adopted to set achievable learning objectives in clinical skills, education and research.
欧洲内镜外科学会（EAES）的住院医师培训计划于 2014 年设立，每年允许 9 名外科医生从欧洲和美国的专业中心获得微创外科（MIS）的经验和技能。它符合 EAES 教育和培训委员会的战略重点，即提供学习流动机会。为了评估该计划的影响，进行了一项调查，旨在评估该计划的经验和影响，并为改进提供反馈。
使用 5 分李克特量表进行调查，以评估临床、教育和研究经验。评估获得新的技术技能、改变临床实践以及与所在机构持续合作的影响。纳入了 2014 年至 2018 年期间的住院医师。对评分进行了百分比分析；对自由文本反馈进行了定性分析的主题分析。
所有住院医师都能很好地进入手术室进行观察，其中 70.6%的人能够协助手术。91.2%的人参加了教育活动，23.5%的人能够通过教学做出贡献。44.1%的人参加了研究活动，其中 41.2%的人成为所在机构发表的出版物的作者/合著者。97.1%的住院医师表示他们的手术能力有所提高，94.3%的人获得了新的手术技能，85.7%的人能够在其医院引入新技术。74.29%的人同意临床经验导致他们的实践发生变化。最常提出的改进建议是在临床和研究领域设定现实目标，延长住院医师培训时间，并最大限度地增加手术室协助机会。尽管如此，100%的住院医师会向同行推荐该住院医师培训计划。
EAES 住院医师培训计划对获得和采用新的 MIS 技术产生了积极影响。为了进一步完善该计划，应采用个性化方法，设定在临床技能、教育和研究方面可实现的学习目标。
