Wolfe J H
Regional Vascular Unit, St Mary's Hospital, London.
Ann R Coll Surg Engl. 1995 Mar;77(2 Suppl):67-70.
Training in vascular surgery is inevitably going to change radically over the next few years and we no longer have the luxury of an apprenticeship where the trainee matures and develops by prolonged contact with patients and senior colleagues. The EEC and Department of Health are insisting on a more focused training, by reducing the hours to 72 per week and suggesting accreditation as a surgical specialist after six years in higher surgical training. These goals, which have already been accepted by the Royal Colleges (and have been welcomed by the trainees), will inevitably lead to an entirely different approach to training, offering vascular surgeons an opportunity to develop coherent and more uniform programmes. To date many trainees have complained that their experience has been patchy, and sometimes poorly supervised. The task of developing a practical scheme is daunting, but we must start with the patient. Clearly, the patients' needs come first so that the training programme must lock on to the best standards of care. Only in this way can we ensure that the trainee is exposed to the best practice and modern techniques.
未来几年，血管外科培训必将发生根本性变革，我们再也不能像过去那样，让实习生通过长期接触患者和资深同事来慢慢成长和发展，享受那种师徒传承式的培训了。欧洲经济共同体（EEC）和卫生部坚持要进行更有针对性的培训，将每周工作时长减至72小时，并提议在经过六年的高级外科培训后，认可其为外科专科医生。这些目标已被皇家医学院接受（并受到实习生欢迎），这必将导致一种截然不同的培训方式，为血管外科医生提供制定连贯且更统一培训计划的机会。到目前为止，许多实习生抱怨他们的培训经历参差不齐，有时甚至缺乏良好的监督。制定一个切实可行的方案任务艰巨，但我们必须从患者的角度出发。显然，患者的需求是首要的，因此培训计划必须符合最佳护理标准。只有这样，我们才能确保实习生接触到最佳实践和现代技术。
