Horn Christopher B, Wiseman James E, Sams Valerie G, Kung Andrew C, McCartt Jason C, Armen Scott B, Riojas Christina M
Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Center for Sustainment of Trauma and Readiness Skills, Cincinnati, Cincinnati, Ohio, USA.
Trauma Surg Acute Care Open. 2024 Oct 12;9(1):e001555. doi: 10.1136/tsaco-2024-001555. eCollection 2024.
Early-career surgeons must be exposed to a sufficient number of surgical cases of varying complexity in a mentored environment to allow them to solidify, sustain and build on the skills gained in training. Decreased operative volumes at military treatment facilities and assignments that do not include strong mentoring environments can place military surgeons at a disadvantage relative to their civilian counterparts during this critical time following training. The challenge of lower operative volumes in the current interwar lull has been exacerbated by the decline in beneficiary care conducted within the Military Healthcare System. These challenges must be addressed by ensuring early-career surgeons maintain exposure to a large volume of complex surgical procedures and deliberate mentoring from senior surgeons. The purpose of this position statement is to provide actionable methods to support early-career military surgeons to effectively transition from training to independent practice.
处于职业生涯早期的外科医生必须在有导师指导的环境中接触足够数量、复杂度各异的外科病例,以便他们巩固、维持并进一步提升在培训中获得的技能。军事治疗机构的手术量减少,以及任务分配中缺乏强大的导师指导环境,可能会使军事外科医生在培训后的这段关键时期相对于 civilian counterparts 处于劣势。当前两次战争之间的平静期手术量较低的挑战,因军事医疗系统内受益患者护理的减少而加剧。必须通过确保处于职业生涯早期的外科医生持续接触大量复杂的外科手术,并得到资深外科医生的精心指导来应对这些挑战。本立场声明的目的是提供可行的方法,以支持处于职业生涯早期的军事外科医生有效地从培训过渡到独立执业。