Stephen Andrew H, Adams Charles A
Alpert Medical School at Brown University, Providence RI, United States of America.
Surg Open Sci. 2023 Nov 21;16:226-227. doi: 10.1016/j.sopen.2023.11.006. eCollection 2023 Dec.
A large proportion of surgical residents that are applying to surgical critical care(SCC) and acute care surgery(ACS) fellowships are describing cases where they cared for patients with injuries from penetrating trauma in their personal statements. These cases appear to have served as an inspiration for their fellowship and career decision. However a substantial percentage of training in these fellowships occurs in the ICU and there also have been steadily decreasing rates of operative penetrating trauma throughout the United States over the last several decades. This incongruity is explored and suggestions are made for formal mentorship to occur between surgical residents interested in further training in SCC and ACS and attendings practicing within these fields.
申请外科重症监护（SCC）和急性护理外科（ACS）奖学金的外科住院医师中，很大一部分人在个人陈述中描述了他们护理穿透性创伤患者的病例。这些病例似乎激发了他们申请奖学金和职业选择的灵感。然而，这些奖学金培训的很大一部分是在重症监护病房进行的，而且在过去几十年里，美国穿透性创伤的手术率也在稳步下降。本文探讨了这种不协调现象，并建议在对SCC和ACS进一步培训感兴趣的外科住院医师与这些领域的主治医生之间建立正式的指导关系。
