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关节镜检查和矫形住院医师培训:资源有限环境下培训结构的横断面研究。

Arthroscopy and orthopedic residency: a cross-sectional study of training structure in a resource-constrained environment.

机构信息

Division of Arthroscopy and Sports Medicine, Department of Orthopaedics and Trauma Surgery, National Orthopaedic Hospital, Igbobi, Lagos, Nigeria.

Department of Surgery, Ekiti State University, Ado-Ekiti, Ekiti State, Nigeria.

出版信息

Pan Afr Med J. 2023 May 17;45:42. doi: 10.11604/pamj.2023.45.42.36208. eCollection 2023.

DOI:10.11604/pamj.2023.45.42.36208
PMID:37575522
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10422036/
Abstract

INTRODUCTION

orthopedic residency training was established in the West African sub-region a few decades ago, but sub-specialty in arthroscopy has only become established in the last decade. This study was aimed at evaluating available arthroscopy training resources and their impact on skill acquisition by orthopedic residents.

METHODS

this was a cross-sectional study involving the use of a structured online survey of consultant orthopedic surgeons and orthopedic resident doctors. Details relating to the structure of training and challenges with training and recommendations for improved training were enquired.

RESULTS

one hundred and two responses were received. There were 95% males (73) and 5% (4) females among the residents and 92% (23) males and 8% (2) females among the responding consultants. Of the residents, 47% (36) were registrars while 53% (41) were senior registrars. Seventy-six percent (77) were residents and twenty-five (24%) were consultants. Didactic lectures were the most impactful available training adjunct. Only 3% (2) of the residents had access to dry laboratory sessions with no specified number of practice hours attached. There was no computer simulation laboratory or cadaveric laboratory training facility for arthroscopy training in any of the training centres. Ninety-two percent (23) of the responding consultants would prefer a 6-12-month rotation in arthroscopy for residents. Fifty-three percent (41) of the residents had regular opportunities to participate in arthroscopic surgeries.

CONCLUSION

orthopedic residency in arthroscopy in Nigeria is emerging and can be improved upon by increasing the available training resources and trained personnel.

摘要

简介

几十年前,西非次区域建立了骨科住院医师培训制度,但关节镜检查的亚专业仅在上十年才得到确立。本研究旨在评估现有的关节镜检查培训资源及其对骨科住院医师技能获得的影响。

方法

这是一项横断面研究,涉及对顾问骨科医生和骨科住院医生进行结构化在线调查。详细询问了培训结构以及培训方面的挑战和改进培训的建议。

结果

共收到 102 份回复。住院医师中 95%(73 人)为男性,5%(4 人)为女性;顾问中 92%(23 人)为男性,8%(2 人)为女性。住院医师中,47%(36 人)为住院医师,53%(41 人)为高级住院医师。76%(77 人)为住院医师,25%(24 人)为顾问。理论讲座是最有影响力的可用培训辅助手段。只有 3%(2 人)的住院医师可以参加没有规定练习时间的干实验室课程。在任何培训中心都没有计算机模拟实验室或尸体实验室关节镜训练设施。92%(23 人)的回应顾问希望住院医师进行 6-12 个月的关节镜旋转。53%(41 人)的住院医师有定期机会参与关节镜手术。

结论

尼日利亚的骨科关节镜住院医师培训正在兴起,可以通过增加可用的培训资源和培训人员来加以改进。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57d8/10422036/da23d54e6d11/PAMJ-45-42-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57d8/10422036/6742991d9ee2/PAMJ-45-42-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57d8/10422036/5eaa88bf7140/PAMJ-45-42-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57d8/10422036/abdfa7641303/PAMJ-45-42-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57d8/10422036/da23d54e6d11/PAMJ-45-42-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57d8/10422036/6742991d9ee2/PAMJ-45-42-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57d8/10422036/5eaa88bf7140/PAMJ-45-42-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57d8/10422036/abdfa7641303/PAMJ-45-42-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57d8/10422036/da23d54e6d11/PAMJ-45-42-g004.jpg

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