Max M H, Polk H C
Am J Surg. 1982 Jan;143(1):150-4. doi: 10.1016/0002-9610(82)90146-5.
Questionnaires sent to directors of 126 university surgical residency programs analyzed the availability and quality of fiberoptic gastrointestinal endoscopic training. Seventy percent responded: 59 percent of their programs included some endoscopy training. Only half of the respondents believed their residents were adequately trained in endoscopic techniques. Although 67 percent of institutions had at least one surgeon performing endoscopy, many did not involve surgical residents in their cases. Insufficient caseloads were the rule, with fewer than 30 patients available to each resident for gastroscopy in 63 percent of the programs and for colonoscopy in 89 percent. Only half of all directors were satisfied with their relation with gastroenterology with respect to endoscopy. Gastroenterology service monopolized the performance of endoscopy at 41 percent of the universities. Since endoscopy is helpful in the management of many gastrointestinal disorders treated by surgeons, training surgical residents in such techniques is advisable. To do so properly, program directors must recruit skilled faculty and provide more concentrated endoscopic rotations with adequate caseloads or develop truly sharp educational experiences with their colleagues in gastroenterology.
向126个大学外科住院医师培训项目的主任发放问卷，分析了纤维光学胃肠内镜培训的可得性和质量。70%的人回复：其中59%的项目包含一些内镜培训。只有一半的受访者认为他们的住院医师在内镜技术方面得到了充分培训。虽然67%的机构至少有一名外科医生进行内镜检查，但许多机构的病例中没有让外科住院医师参与。病例数量不足是常态，在63%的项目中，每个住院医师可用于胃镜检查的患者少于30例，在89%的项目中，可用于结肠镜检查的患者少于30例。所有主任中只有一半对他们在内镜检查方面与胃肠病学的关系感到满意。41%的大学中，胃肠病学服务垄断了内镜检查的实施。由于内镜检查有助于外科医生治疗的许多胃肠道疾病的管理，因此建议对外科住院医师进行此类技术的培训。要妥善做到这一点，项目主任必须招募技术熟练的教员，并提供更多有足够病例数量的集中内镜轮转培训，或者与胃肠病学同事开展真正有针对性的教育活动。
