Mulder D S, McKneally M F
Department of Surgery, McGill University, Montreal General Hospital, Que.
Can J Surg. 1995 Aug;38(4):334-7.
Societal, technologic, organizational and educational developments during the past 10 years have brought about increasing promises for change in the graduate medical education of cardiac and thoracic surgeons. These changes effectively lengthened training to 8'years and created a double standard for the education of a thoracic surgeon. A task force mandated by the Royal College of Physicians and Surgeons of Canada nucleus committees in both cardiac and thoracic surgery and with the support of the Canadian Society of Cardiovascular and Thoracic Surgeons studied the problem and made the following recommendation: cardiac surgery and thoracic surgery should each become a primary specialty with its own nucleus committee. Each specialty would require 6'years' training, with the possibility of obtaining certification in both specialties after an additional 18'months training. Each specialty could also be entered after completion of full training in general surgery. The task force also urged the development of a curriculum to guide educational objectives in each specialty. These changes will produce a flexible, shorter, more focused program for cardiac and thoracic surgeons for both university and community settings.
在过去十年中，社会、技术、组织和教育的发展为心脏和胸外科医生的毕业后医学教育带来了越来越多的变革希望。这些变革有效地将培训时间延长至8年，并为胸外科医生的教育创造了双重标准。加拿大皇家内科医师和外科医师学院授权成立了一个特别工作组，该工作组由心脏和胸外科的核心委员会组成，并在加拿大心血管和胸外科协会的支持下研究了这个问题，并提出了以下建议：心脏外科和胸外科应各自成为拥有自己核心委员会的主要专科。每个专科需要6年的培训，并有可能在额外18个月的培训后获得两个专科的认证。在完成普通外科的全面培训后，也可以进入每个专科。特别工作组还敦促制定课程，以指导每个专科的教育目标。这些变革将为大学和社区环境中的心脏和胸外科医生制定一个灵活、更短、更有针对性的计划。
