Khosla Muskaan, Vidya Raghavan, Kothari Ashutosh, Gulluoglu Bahadir M
Breast Department, The Royal Wolverhampton NHS Trust, Wolverhampton, UK.
Department of Breast Surgery, Guy's and St. Thomas' NHS Foundation Trust, London, UK.
Breast Care (Basel). 2023 Jun;18(3):187-192. doi: 10.1159/000529521. Epub 2023 Feb 8.
The framework of breast care is changing rapidly due to the increasing success of systemic therapies for breast cancer, and consequently, surgeons need to adapt themselves to the changing role of surgery in its management. Real-world evidence indicates that breast cancer patient-related outcomes are better if they are managed by specialized physicians and surgeons. On the other hand, the curriculum for the training of breast surgeons is expanding and includes skills that involve newer surgical techniques and nonsurgical technologies. De-escalation of surgery and also the fact that quality of life is becoming one of the priorities in breast cancer management require breast surgeons to be competent in all aspects of multidisciplinary management. Classical teaching including master-apprentice relation-based training is no more sufficient to satisfy the expectations of the trainees. However, on the other hand, the sources for contemporary postgraduate education are relatively scarce when considering these fast changes in the field. Therefore, there is a continuing quest among breast surgeons for finding ways to maintain their professional development.
Classrooms and operating theaters without walls that came with the internet boom brought substantial opportunities for breast surgeons. Platforms such as BreastGlobal, Breastics24 h, Global Breast Hub, Oncoplastic Academy-Brazil, ibreastbook, Virtual Breast Oncoplastic Surgical Simulator, and CluBreast helped surgeons who needed to get contemporary training and interaction for their professional continuous development. Networking sites such as YouTube, Facebook, and Twitter are also among the social media platforms for professional groups to interact. National and global breast surgery societies also provide periodical online meetings and congresses for their members in order to satisfy the ongoing demand for training, interaction, and networking. Therefore, web-based platforms helped many surgeons from different parts of the world who could not afford to travel or did not have time to attend the necessary meetings due to their limited time and resources. Moreover, these online programs may have also encouraged surgeons to pursue specialized training in breast surgery which in turn should be expected to increase the quality of breast care in their countries.
The platforms have downsides such as practical training and role modeling are limited and the opportunity of receiving real-time feedback on skills requirements lacks and networking would not be productive as expected. Nevertheless, web-based platforms require certain technology and infrastructure which still could not be provided everywhere.
由于乳腺癌全身治疗的成功率不断提高,乳腺护理的框架正在迅速变化,因此,外科医生需要使自己适应手术在其管理中不断变化的作用。实际证据表明,如果乳腺癌患者由专科医生和外科医生管理,其相关结局会更好。另一方面,乳腺外科医生的培训课程正在扩展,包括涉及更新的手术技术和非手术技术的技能。手术的降级以及生活质量正成为乳腺癌管理的优先事项之一这一事实,要求乳腺外科医生具备多学科管理各方面的能力。包括基于师徒关系的培训在内的传统教学已不足以满足学员的期望。然而,另一方面,考虑到该领域的这些快速变化,当代研究生教育的资源相对稀缺。因此,乳腺外科医生一直在寻求保持其专业发展的方法。
互联网热潮带来的无边界教室和手术室为乳腺外科医生带来了大量机会。诸如BreastGlobal、Breastics24 h、Global Breast Hub、巴西肿瘤整形外科学院、ibreastbook、虚拟乳腺肿瘤整形手术模拟器和CluBreast等平台,帮助需要接受当代培训和互动以实现专业持续发展的外科医生。YouTube、Facebook和Twitter等社交网站也是专业团体进行互动的社交媒体平台。国家和全球乳腺外科学会也为其成员提供定期的在线会议和大会,以满足对培训、互动和交流的持续需求。因此,基于网络的平台帮助了世界不同地区的许多外科医生,他们因时间和资源有限而无法出行或没有时间参加必要的会议。此外,这些在线项目可能还鼓励了外科医生追求乳腺外科的专业培训,这反过来有望提高其所在国家的乳腺护理质量。
这些平台存在一些缺点,如实践培训和榜样示范有限,缺乏关于技能要求的实时反馈机会,并且交流可能不如预期的有成效。尽管如此,基于网络的平台需要特定的技术和基础设施,而这些在各地仍无法全部提供。