Smale B F, Reber H A, Terry B E, Silver D
Surgery. 1983 Aug;94(2):180-5.
The American Board of Surgery now requires surgical training programs to provide instruction in gastrointestinal endoscopy. In order to demonstrate that an independent Surgical Endoscopy Service could generate sufficient patient volume for an endoscopy training program, we reviewed our experience before and after the organization of such a service. In the year before formation of the Surgical Endoscopy Service (1981), surgical endoscopists performed 134 upper gastrointestinal (UGI) endoscopies and 25 colonoscopies for a total of 159 procedures. This represented 17% of the total institutional endoscopies performed. Further analysis indicated that 30.5% of UGI endoscopies and 24% of colonoscopies were performed on patients referred from surgical services. During the first year of the Surgical Endoscopy Service (1982), we performed 322 UGI endoscopies and 102 colonoscopies for a total of 424 procedures. This represented an increase to 36.5% of the total institutional endoscopies. During this time 41% of the UGI endoscopies and 33% of the colonoscopies were performed on patients referred from surgical services. Thus, with the formation of a Surgical Endoscopy Service we were able to dramatically increase our procedure volume and to provide effective gastrointestinal endoscopic training for our residency program. This confirmed our premise that in a typical university training program there is sufficient clinical material to provide training in surgical endoscopy.
美国外科委员会现在要求外科培训项目提供胃肠内镜检查方面的指导。为了证明独立的外科内镜服务能够为内镜培训项目带来足够的患者量，我们回顾了组建该服务前后的经验。在外科内镜服务组建前的一年（1981年），外科内镜医师进行了134例上消化道（UGI）内镜检查和25例结肠镜检查，共计159例操作。这占机构内镜检查总数的17%。进一步分析表明，30.5%的上消化道内镜检查和24%的结肠镜检查是针对外科服务转诊的患者进行的。在外科内镜服务的第一年（1982年），我们进行了322例上消化道内镜检查和102例结肠镜检查，共计424例操作。这占机构内镜检查总数的比例增至36.5%。在此期间，41%的上消化道内镜检查和33%的结肠镜检查是针对外科服务转诊的患者进行的。因此，随着外科内镜服务的组建，我们能够显著增加操作量，并为住院医师培训项目提供有效的胃肠内镜培训。这证实了我们的前提，即在典型的大学培训项目中有足够的临床素材来提供外科内镜检查培训。
