Ellenhorn J D, Wagman L D, Paz I B, Chu D Z, Williams W L, Odom-Maryon T
Department of Surgery, City of Hope National Medical Center, CA 91010, USA.
Ann Surg Oncol. 1996 Jul;3(4):406-10. doi: 10.1007/BF02305672.
Surgical oncology as a distinct field of expertise is fairly young. The current study was designed to gain a better understanding of the attitude of practicing physicians toward the field of surgical oncology.
Three hundred twenty-seven physicians in the San Gabriel Valley (a suburban area adjacent to Los Angeles) responded to an anonymous survey of opinions regarding surgical oncology. Responses were placed into a computerized database.
Of those responding, 179 were primary care physicians, 52 were general surgeons, 78 were gynecologists, and 18 were medical oncologists. Overall, 89% of physicians were familiar with the field of surgical oncology, but only 47% had ever heard of The Society of Surgical Oncology (SSO). Ninety-four percent of the respondents felt that a surgical oncologist should care for patients with complex cancer, and 63% of respondents felt that surgical oncologists should care only for patients with complex cancer. Familiarity with the field of surgical oncology and with the SSO correlated with the percentage of the physicians practice that was cancer related. Only 22% of physicians felt that the field of surgical oncology is redundant to the general surgical specialties.
Results of the survey indicate that there is considerable recognition of the unique expertise of the surgical oncologist by the medical community. Unfortunately, many physicians are not familiar with the SSO. Educating physicians in the community about the SSO may help to further expand the role of the surgical oncologist in the care of the patient with cancer, standardize the expectations of the skills and training of a surgical oncologist, and set a benchmark for the surgical subspecialty.
外科肿瘤学作为一个独特的专业领域相当年轻。本研究旨在更好地了解执业医师对外科肿瘤学领域的态度。
圣盖博谷(洛杉矶附近的一个郊区)的327名医师对一项关于外科肿瘤学的匿名意见调查做出了回应。回应被录入计算机数据库。
在做出回应的人中,179名是初级保健医师,52名是普通外科医师,78名是妇科医师,18名是医学肿瘤学家。总体而言,89%的医师熟悉外科肿瘤学领域,但只有47%的人听说过外科肿瘤学会(SSO)。94%的受访者认为外科肿瘤学家应该照顾患有复杂癌症的患者,63%的受访者认为外科肿瘤学家只应该照顾患有复杂癌症的患者。对外科肿瘤学领域和SSO的熟悉程度与医师执业中与癌症相关的比例相关。只有22%的医师认为外科肿瘤学领域对普通外科专业来说是多余的。
调查结果表明,医学界相当认可外科肿瘤学家的独特专业知识。不幸的是,许多医师不熟悉SSO。对社区医师进行关于SSO的教育可能有助于进一步扩大外科肿瘤学家在癌症患者护理中的作用,规范对外科肿瘤学家技能和培训的期望,并为外科亚专业设定一个基准。