Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan.
Surg Today. 2024 Feb;54(2):145-151. doi: 10.1007/s00595-023-02713-w. Epub 2023 Jun 10.
The Endoscopic Surgical Skill Qualification System was established in Japan to evaluate safe endoscopic surgical techniques and teaching skills. Trainee surgeons obtaining this certification in rural hospitals are disadvantaged by the limited number of surgical opportunities. To address this problem, we established a surgical training system to educate trainee surgeons.
Eighteen certified expert surgeons affiliated with our department were classified into an experienced training system group (E group, n = 9) and a non-experienced group (NE group, n = 9). Results of the training system were then compared between the groups.
The number of years required to become board certified was shorter in the E group (14 years) than that in the NE group (18 years). Likewise, the number of surgical procedures performed before certification was lower in the E group (n = 30) than that in the NE group (n = 50). An expert surgeon was involved in the creation of the certification video of all the E group participants. A questionnaire to board-certified surgeons revealed that guidance by a board-certified surgeon and trainee education (surgical training system) was useful for obtaining certification.
Continuous surgical training, starting with trainee surgeons, appears useful for expediting their acquisition of technical certification in rural areas.
日本建立了内镜手术技能资格认证系统，以评估安全的内镜手术技术和教学技能。在农村医院获得该认证的实习外科医生由于手术机会有限而处于不利地位。为了解决这个问题，我们建立了一个外科培训系统来教育实习外科医生。
我们科室的 18 名认证专家外科医生分为经验培训系统组（E 组，n=9）和非经验组（NE 组，n=9）。然后比较两组培训系统的结果。
E 组成为委员会认证外科医生所需的年限（14 年）比 NE 组（18 年）短。同样，E 组在认证前进行的手术数量（n=30）也低于 NE 组（n=50）。所有 E 组参与者的认证视频都是由一位专家外科医生制作的。一项针对委员会认证外科医生的问卷调查显示，由委员会认证外科医生指导和实习医生教育（外科培训系统）对于获得认证很有用。
从实习外科医生开始的持续外科培训似乎有助于加快他们在农村地区获得技术认证。
