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腕关节镜在外科住院医师培训中的地位如何?住院医师腕关节镜调查(WARS)。

What is the place of wrist arthroscopy in surgical residents' training? Wrist Arthroscopy in Residents Survey (WARS).

机构信息

Hand surgery and Limb Reconstructive Surgery Department, Timone Adultes Hospital, Marseille, France.

Orthopedic and Traumatology Surgery Department, Sainte-Marguerite Hospital, Marseille, France.

出版信息

Orthop Traumatol Surg Res. 2022 Dec;108(8):103429. doi: 10.1016/j.otsr.2022.103429. Epub 2022 Oct 7.

DOI:10.1016/j.otsr.2022.103429
PMID:36209986
Abstract

INTRODUCTION

Wrist arthroscopy has become an essential method in the management of patients suffering from wrist pathologies. This technique must be mastered by residents wishing to specialize in upper limb surgery. However, no study has evaluated residents' access to wrist arthroscopy.

HYPOTHESIS

Residents have difficulty accessing wrist arthroscopy surgery during their training.

MATERIALS AND METHODS

We sent out an online questionnaire to all orthopedic and plastic surgery referents in France. Data were collected over a 6-month period from December 2020 to May 2021. A descriptive statistical analysis was performed.

RESULTS

Regarding the 98 responses obtained, we observed that 77.54% of residents have seen between 0 and 10 wrist arthroscopies and 35.71% have never seen a wrist arthroscopy. In addition, only 23.80% of residents have had access to training on cadavers, and 57.14% of residents were trained in private facilities.

DISCUSSION

Access to the operating room remains difficult for residents in upper limb surgery. Our results suggest that wrist arthroscopy training could be improved. New training methods could be adapted for wrist arthroscopy and to overcome the lack of access to wrist arthroscopy for residents.

LEVEL OF INCIDENCE

IV.

摘要

简介

腕关节镜已成为治疗腕部病变患者的重要方法。希望专攻上肢手术的住院医师必须掌握这项技术。然而,目前尚无研究评估住院医师接受腕关节镜手术的机会。

假设

住院医师在培训期间难以进行腕关节镜手术。

材料和方法

我们向法国所有骨科和整形外科参考人员发送了在线问卷。数据收集时间为 2020 年 12 月至 2021 年 5 月,共 6 个月。采用描述性统计分析。

结果

在收到的 98 份回复中,我们观察到 77.54%的住院医师见过 0 到 10 次腕关节镜检查,而 35.71%的住院医师从未见过腕关节镜检查。此外,只有 23.80%的住院医师接受过尸体培训,57.14%的住院医师在私人机构接受培训。

讨论

上肢手术住院医师进入手术室仍然困难。我们的结果表明,腕关节镜检查培训可以得到改善。可以为腕关节镜检查制定新的培训方法,以克服住院医师缺乏腕关节镜检查的机会。

发病率等级

IV。

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