Galandiuk S
Department of Surgery, University of Louisville School of Medicine, Ky., USA.
Arch Surg. 1995 Oct;130(10):1136-8. doi: 10.1001/archsurg.1995.01430100114022.
To examine the impact of a surgical subspecialist on residents' operative experience in a mature general surgery training program.
American Board of Surgery operative experience records were used to examine the impact of a surgical subspecialist on surgical training in a stable residency program. Operations performed as surgeon by residents in their chief and junior years were analyzed 4 years before and 4 years after the addition of this subspecialist to the faculty. Hospital admissions for Crohn's disease and ulcerative colitis during these periods were analyzed as well.
There was a statistically significant increase in the number of ileal pouch anal anastomoses, ileostomies, small-bowel resections, partial colectomies, and coloanal anastomoses performed by surgical residents after the addition of a colorectal surgical subspecialist.
Subspecialty faculty may favorably influence general surgical training by increasing resident operative experience and patient management skills with procedures characteristic of the subspecialty.
在一个成熟的普通外科培训项目中，研究外科专科医生对住院医师手术经验的影响。
利用美国外科委员会的手术经验记录，在一个稳定的住院医师培训项目中研究外科专科医生对外科培训的影响。分析在该专科医生加入教员队伍之前4年和之后4年，住院医师在其主治年和初级年作为主刀医生所进行的手术。同时分析这些时期克罗恩病和溃疡性结肠炎的住院病例数。
在加入结直肠外科专科医生后，外科住院医师进行的回肠储袋肛管吻合术、回肠造口术、小肠切除术、部分结肠切除术和结肠肛管吻合术的数量有统计学显著增加。
专科教员可能通过增加住院医师的手术经验以及与该专科相关手术的患者管理技能，从而对普通外科培训产生积极影响。
