Strasberg S M
Can J Surg. 1986 Jan;29(1):64-8.
Surgical residents and interns frequently misunderstand the relation between surgery and research, and the contribution of surgical research to clinical practice. The problem is that the effects of research must be viewed in the long term. Once the resident can do this, the importance of research to surgery is evident and surgical research can be seen for what it is, the growing surface of surgery. Training to do surgical research has many parallels with clinical training. A core-training period in investigation provides the resident with the right mental approaches to investigation so that training in a specific area of research may be done later. Surgical scientists must be excellent clinicians as well as scientists and so long training periods are required. Four years of clinical practice training and 3 of research training are probably ideal. Shorter periods of research training may be valuable for many surgical residents, particularly those who have had little research experience. Training should be tailored to the trainee's desired role in surgery.
外科住院医师和实习生常常误解手术与研究之间的关系,以及外科研究对临床实践的贡献。问题在于,研究的影响必须从长远角度来看待。一旦住院医师能够做到这一点,研究对外科手术的重要性就显而易见了,外科研究也能展现其本质,即手术不断拓展的领域。进行外科研究的培训与临床培训有许多相似之处。在研究方面的核心培训期能为住院医师提供正确的研究思维方式,以便日后在特定研究领域进行培训。外科科学家必须既是优秀的临床医生又是科学家,因此需要较长的培训期。四年的临床实践培训和三年的研究培训可能是理想的。较短的研究培训期对许多外科住院医师可能也很有价值,尤其是那些几乎没有研究经验的人。培训应根据受训者在外科手术中期望扮演的角色进行量身定制。