McCarthy M J, Byrne G J
Department of Surgery, Birmingham Heartlands Hospital, UK.
J R Coll Surg Edinb. 1997 Oct;42(5):317-8.
Clinical audit is now an integral part of surgical practice. The Royal College of Surgeons of England has stated that all members of the clinical team should participate in the clinical audit. Junior surgical doctors from the West Midlands Region were interviewed, using a questionnaire, to investigate their attitudes towards audit. Sixty-eight junior doctors were interviewed from six hospitals. Sixty-one (90%) felt that audit was necessary in routine surgical practice, 21 (31%) had presented data at audit meetings and only three (4%) were allocated study periods to prepare for their audit topics. In those hospitals in which all elective work was cancelled, there was a higher attendance rate at audit meetings by junior doctors. Many junior doctors felt that they lacked direction from senior colleagues and had not received any formal training in clinical audit. Clinical audit should become part of undergraduate and postgraduate medical training and junior doctors need to take a more active role in clinical audit.
临床审计如今已成为外科实践不可或缺的一部分。英国皇家外科医学院表示，临床团队的所有成员都应参与临床审计。通过问卷调查对西米德兰兹地区的初级外科医生进行了访谈，以调查他们对审计的态度。从六家医院采访了68名初级医生。61人（90%）认为在常规外科实践中审计是必要的，21人（31%）在审计会议上展示过数据，只有三人（4%）被分配了研究时间来准备他们的审计主题。在那些所有择期手术都被取消的医院里，初级医生参加审计会议的出勤率更高。许多初级医生觉得他们缺乏资深同事的指导，并且没有接受过任何临床审计方面的正规培训。临床审计应该成为本科和研究生医学培训的一部分，初级医生需要在临床审计中发挥更积极的作用。
