Cooper Medical School of Rowan University, Camden, NJ, USA.
Department of Surgery, Cooper Medical School of Rowan University, Cooper University Health Care, Camden, NJ, USA.
Am Surg. 2023 Nov;89(11):4496-4500. doi: 10.1177/00031348221121538. Epub 2022 Aug 16.
Surgical education has evolved over time to incorporate supplemental modalities of training beyond the operating room. Even with the utility of simulation software and didactic education, there is still a need to provide surgical residents with experience in live tissue dissection and tissue handling while maintaining patient safety. In our program, after two clinical years, residents participate in a year of translational research which uses porcine models for complex open abdominal procedures. During the porcine surgeries, our residents are guided by the supervising attending to perform key portions of the procedure typically reserved for those more senior trainees. We found in a survey that research residents after two clinical years found this experience with large animal surgeries helped them better navigate anatomic structures and would recommend this to future trainees. We believe this dual-purpose research-training model provides a valuable resource that can be adapted to other programs.
外科教育随着时间的推移已经发展到将除手术室之外的补充培训模式纳入其中。即使有模拟软件和教学教育的实用性,仍然需要为外科住院医师提供在保持患者安全的情况下进行活体组织解剖和组织处理的经验。在我们的项目中,经过两年的临床培训后,住院医师会参加为期一年的转化研究,该研究使用猪模型进行复杂的开放式腹部手术。在猪的手术中,我们的住院医师在主治医生的指导下进行通常为更高级别受训者保留的手术关键部分。我们在一项调查中发现,经过两年的临床培训后,研究住院医师发现这种大型动物手术的经验有助于他们更好地了解解剖结构,并会向未来的受训者推荐这种经验。我们相信这种双重用途的研究培训模式提供了一个有价值的资源,可以适应其他项目。