Wolfe J H
Regional Vascular Unit, St Mary's Hospital, London.
J R Coll Surg Edinb. 1995 Dec;40(6):355-8.
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 6 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.
在未来几年里，血管外科培训必将发生根本性变革，我们再也无法享受以往那种学徒式培训模式了，即学员通过与患者及资深同事长期接触来逐渐成熟和成长。欧洲经济共同体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，并提议在接受6年高级外科培训后获得外科专科认证。这些目标已被皇家医学院认可（并受到学员欢迎），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方案的机会。迄今为止，许多学员抱怨他们的培训经历参差不齐，有时还缺乏良好的监督。制定一个切实可行的方案是一项艰巨的任务，但我们必须从患者出发。显然，患者的需求是首要的，这样培训计划就必须遵循最佳护理标准。只有这样，我们才能确保学员接触到最佳实践和现代技术。
