From the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery, Dalhousie University, Halifax, N.S. (Minor); the Department of Surgery, University of Sherbrooke, Sherbrooke, Que. (Marchand); the Department of Emergency Medicine, Queen's University, Kingston, Ont. (Williams, Evan); the Department of Surgery, University of Alberta, Edmonton, Alta. (Mador, Widder); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Ziessman); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Lampron); the Department of Surgery, University of Calgary, Calgary, Alta. (Ball)
From the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery, Dalhousie University, Halifax, N.S. (Minor); the Department of Surgery, University of Sherbrooke, Sherbrooke, Que. (Marchand); the Department of Emergency Medicine, Queen's University, Kingston, Ont. (Williams, Evan); the Department of Surgery, University of Alberta, Edmonton, Alta. (Mador, Widder); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Ziessman); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Lampron); the Department of Surgery, University of Calgary, Calgary, Alta. (Ball).
Can J Surg. 2024 Mar 7;67(2):E99-E107. doi: 10.1503/cjs.000223. Print 2024 Jan-Feb.
General surgeons play an important role in the provision of trauma care in Canada and the current extent of their trauma experience during training is unknown. We sought to quantify the operative and nonoperative educational experiences among Canadian general surgery trainees.
We conducted a multicentre retrospective study of major operative exposures experienced by general surgery residents, as identified using institutional trauma registries and subsequent chart-level review, for 2008-2018. We also conducted a site survey on trauma education and structure.
We collected data on operative exposure for general surgery residents from 7 programs and survey data from 10 programs. Operations predominantly occurred after hours (73% after 1700 or on weekends) and general surgery residents were absent from a substantial proportion (25%) of relevant trauma operations. The structure of trauma education was heterogeneous among programs, with considerable site-specific variability in the involvement of surgical specialties in trauma care. During their training, graduating general surgery residents each experienced around 4 index trauma laparotomies, 1 splenectomy, 1 thoracotomy, and 0 neck explorations for trauma.
General surgery residents who train in Canada receive variable and limited exposure to operative and nonoperative trauma care. These data can be used as a baseline to inform the application of competency-based medical education in trauma care for general surgery training in Canada.
普通外科医生在加拿大创伤护理的提供中发挥着重要作用，目前他们在培训期间的创伤经验程度尚不清楚。我们旨在量化加拿大普通外科住院医师的手术和非手术教育经验。
我们对 2008 年至 2018 年期间，通过机构创伤登记处和随后的图表级别审查，对普通外科住院医师的主要手术暴露情况进行了多中心回顾性研究。我们还对创伤教育和结构进行了现场调查。
我们从 7 个项目中收集了普通外科住院医师手术暴露的数据，并从 10 个项目中收集了调查数据。手术主要在工作时间之后进行（73%在 1700 点之后或周末进行），普通外科住院医师错过了相当一部分（25%）相关创伤手术。各项目的创伤教育结构存在差异，外科专业参与创伤护理的情况存在很大的特定地点差异。在培训期间，即将毕业的普通外科住院医师每人经历了大约 4 次创伤剖腹手术、1 次脾切除术、1 次开胸术和 0 次创伤性颈部探查术。
在加拿大接受培训的普通外科住院医师接受的手术和非手术创伤护理经验各不相同且有限。这些数据可作为基准，为加拿大普通外科培训中基于能力的创伤护理应用提供信息。
