McMahon D J, Chen S, MacLellan D G
University of Melbourne Department of Surgery, Heidelberg Repatriation Hospital, Victoria, Australia.
Aust N Z J Surg. 1995 Aug;65(8):607-9. doi: 10.1111/j.1445-2197.1995.tb01707.x.
Attainment of the practical skills in surgery is an integral part of surgical training. Basic skills must be mastered prior to attempting more complex tasks and bad habits learned early are difficult to correct. A survey of advanced surgical trainees at this hospital demonstrated that skills were usually acquired during sessions in the operating theatre, often in an ad hoc manner. We report our experience in establishing a workshop-based skills course. The program included handling of instruments, knot tying, types and applications of needles and suture materials, wound care, ligation of vessels, and assisting at operation. Following completion of the course and demonstration of their competence, participants were awarded a certificate in basic skills. Participants reported increased confidence and involvement in operative surgery after the course and an increased interest in a career in surgery. We believe the intern year is the most appropriate time to teach such skills, but tuition need not to be restricted to this group. Teaching basic surgical skills in the workshop setting is feasible and advantageous.
外科技能的掌握是外科培训不可或缺的一部分。在尝试更复杂的任务之前，必须先掌握基本技能，而且早期养成的坏习惯很难纠正。对本院高级外科实习生的一项调查表明，技能通常是在手术室的实操过程中获得的，而且往往是临时获取。我们报告了我们在开设以工作坊为基础的技能课程方面的经验。该课程包括器械操作、打结、针和缝合材料的类型及应用、伤口护理、血管结扎以及手术协助。课程结束并证明具备相应能力后，参与者会获得基础技能证书。参与者表示，课程结束后他们在手术操作中的信心和参与度有所提高，并且对外科职业的兴趣也增加了。我们认为实习年是教授此类技能的最合适时间，但教学对象不必局限于这一群体。在工作坊环境中教授基本外科技能是可行且有益的。
