Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China.
Beijing BoYiTimes Medical Technology Co., Ltd, Beijing, China.
BMC Med Educ. 2024 Sep 27;24(1):1040. doi: 10.1186/s12909-024-06031-8.
With the rapid advancement of technology, minimally invasive surgery, particularly laparoscopic surgery, has made significant progress in the field of surgery. Despite the advantages of laparoscopic surgery, a systematic training system for laparoscopic procedures is lacking in Chinese postgraduate medical education. Our study aims to explore the prevalence of laparoscopic training among resident and attending physicians in China and to assess the current state of training programs.
A 10-item questionnaire was distributed to 1,750 resident and attending physicians specializing in surgery across China, with 1,324 valid responses (75.7% response rate). The survey focused on demographics, training curriculum content, and feedback on training effectiveness. Data analysis was conducted using Microsoft Excel and IBM SPSS.
Among the 1,324 respondents, 30.7% reported receiving laparoscopic training, primarily at the attending physician stage. Only 4% of resident physicians and 14% of attending physicians could independently perform complex laparoscopic surgeries. Most respondents (76.6%) could only assist in surgeries. The majority expressed a desire for more frequent and longer training sessions, with suture training being identified as the most beneficial.
This study underscores the critical need for comprehensive laparoscopic training in China. Early, frequent, and structured training programs are essential for developing proficient laparoscopic surgeons. Future initiatives should focus on expanding access to training at all levels of medical education, ensuring continuous skill development and improved surgical care quality.
随着技术的飞速发展，微创手术，特别是腹腔镜手术，在外科领域取得了重大进展。尽管腹腔镜手术有很多优点，但中国研究生医学教育中缺乏系统的腹腔镜手术培训体系。我们的研究旨在探讨中国住院医师和主治医生中腹腔镜培训的流行情况，并评估目前的培训计划现状。
我们向全国 1750 名专门从事外科的住院医师和主治医生发放了一份 10 个问题的问卷，共收到 1324 份有效回复（75.7%的回复率）。调查重点关注人口统计学、培训课程内容以及培训效果反馈。使用 Microsoft Excel 和 IBM SPSS 进行数据分析。
在 1324 名受访者中，30.7%的人报告接受了腹腔镜培训，主要是在主治医生阶段。只有 4%的住院医师和 14%的主治医生能够独立进行复杂的腹腔镜手术。大多数受访者（76.6%）只能协助手术。大多数受访者表示希望有更多的、更长时间的培训课程，其中缝合培训被认为是最有益的。
这项研究强调了中国全面开展腹腔镜培训的迫切需要。尽早、频繁且结构化的培训计划对于培养熟练的腹腔镜外科医生至关重要。未来的举措应侧重于扩大各级医学教育的培训机会，确保不断发展技能和提高手术护理质量。
