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[法国整形外科学培训的现状与优化]

[State of affairs and optimization of plastic surgery training in France].

作者信息

Courbier G, Giroux P-A, Assaf N, Dast S, Sinna R

机构信息

Service de chirurgie plastique, reconstructrice et esthétique, CHU Amiens Sud, 1, rue du Professeur-Christian-Cabrol, 80000 Amiens, France.

Service de chirurgie plastique, reconstructrice et esthétique, CHU Amiens Sud, 1, rue du Professeur-Christian-Cabrol, 80000 Amiens, France.

出版信息

Ann Chir Plast Esthet. 2023 Jan;68(1):1-13. doi: 10.1016/j.anplas.2022.07.018. Epub 2022 Aug 23.

Abstract

BACKGROUND

Concerns have been growing for several years among masters, as to the quality and quantity of training in plastic surgery in France. They are mainly based on the reduction in the working time of residents, the appearance of new residents from generation Z to be trained, and finally the multidisciplinarity of plastic surgery in the current context of overspecialization of training center.

METHODS

In order to objectify these concerns, a survey was carried out among French residents and young heads of plastic surgery to assess their training in the specialty since 2019. We then looked in the law for possibilities to alleviate these concerns.

RESULTS

All the respondents think that their training in the specialty is incomplete, and few of them have been able to supplement it with rotations outside the subdivision or visits from private practitioners. However, in the law, it is possible to carry out: three residents rotations outside the subdivision, clinics rotations and international exchanges.

DISCUSSION

At the end of this analysis, we propose three solutions to optimize training in plastic surgery in France: a system of exchange of residents, the opening of residents rotations in clinics, and finally, to facilitate the realization of operating aids with private practitioners.

CONCLUSION

With these solutions, the field of training for residents could extend from one region to the whole of France. These solutions could easily be applied to other specialties, surgical and medical.

摘要

背景

多年来,法国整形外科学术界对整形手术培训的质量和数量日益担忧。这些担忧主要基于住院医师工作时间的减少、Z世代新住院医师的出现以及当前培训中心过度专业化背景下整形手术的多学科性质。

方法

为了客观评估这些担忧,对法国住院医师和年轻整形外科主任进行了一项调查,以评估他们自2019年以来在该专业的培训情况。然后,我们在法律中寻找缓解这些担忧的可能性。

结果

所有受访者都认为他们在该专业的培训不完整,很少有人能够通过细分领域之外的轮转或私人执业医生的会诊来补充培训。然而,在法律中,可以进行:三次细分领域之外的住院医师轮转、诊所轮转和国际交流。

讨论

在本次分析结束时,我们提出了三种优化法国整形手术培训的解决方案:住院医师交流系统、在诊所开展住院医师轮转,以及最后,促进与私人执业医生合作完成手术辅助操作。

结论

通过这些解决方案,住院医师的培训领域可以从一个地区扩展到整个法国。这些解决方案可以很容易地应用于其他外科和医学专业。

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