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急性外科普通护理的下一个前沿领域:专科医师培训。

The next frontier of acute care general surgery: fellowship training.

机构信息

From the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Rice, Nenshi); the Department of Surgery, Oakville Trafalgar Memorial Hospital, Oakville, Ont. (Lee); the Department of Surgery, University of Calgary, Calgary, Alta. (Ball); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Hameed); the Department of Surgery, University of Alberta, Edmonton, Alta. (Widder); the Department of Surgery, Dalhousie University, Halifax, N.S. (Minor); the Department of Surgery, University of Toronto, Toronto, Ont. (Ahmed); the Department of Surgery, Western University, London, Ont. (Parry, Vogt)

From the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Rice, Nenshi); the Department of Surgery, Oakville Trafalgar Memorial Hospital, Oakville, Ont. (Lee); the Department of Surgery, University of Calgary, Calgary, Alta. (Ball); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Hameed); the Department of Surgery, University of Alberta, Edmonton, Alta. (Widder); the Department of Surgery, Dalhousie University, Halifax, N.S. (Minor); the Department of Surgery, University of Toronto, Toronto, Ont. (Ahmed); the Department of Surgery, Western University, London, Ont. (Parry, Vogt).

出版信息

Can J Surg. 2023 Feb 2;66(1):E42-E44. doi: 10.1503/cjs.020821. Print 2023 Jan-Feb.

Abstract

Acute care surgery (ACS) is an area of surgical specialization within general surgery and a model for clinical care delivery that has proliferated over the last 2 decades. Models of ACS in Canada exist in both academic and community settings and are used to manage patients in need of emergency general surgery (EGS) care, with or without the provision of trauma care. The implementation of the ACS model has changed the landscape of patient care, surgical education and the workforce, providing an option for some general surgeons to exclude EGS care from their regular practice. The rise of ACS as a concentration of surgical skill and content expertise has resulted in the establishment of dedicated ACS fellowship training programs. This is a landmark in the evolution of general surgery, as well as a stepping stone on the path to improving patient care, surgical education and scholarly endeavour in this field.

摘要

急症外科(ACS)是普通外科的一个专业领域,也是过去 20 年来临床护理模式的一个范例。加拿大的 ACS 模式存在于学术和社区环境中,用于管理需要紧急普通外科(EGS)护理的患者,无论是否提供创伤护理。ACS 模式的实施改变了患者护理、外科教育和劳动力的格局,为一些普通外科医生提供了将 EGS 护理排除在其常规实践之外的选择。ACS 作为外科技能和专业知识集中的体现,已经建立了专门的 ACS 研究员培训计划。这是普通外科学发展的一个里程碑,也是改善该领域患者护理、外科教育和学术努力的一个垫脚石。

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