Myhre H O
Department of Surgery, University Hospital of Trondheim, Norway.
Ann Chir Gynaecol. 1998;87(2):124-5.
Self-assessment can be performed by each individual surgeon or by a group of surgeons covering a sub-specialty at a hospital. The individual self-assessment programme can be performed by using appropriate soft-ware and a personal computer. In some countries such self-evaluation is an excellent preparation for re-certification examinations. Other parts of the self-assessment programmes should include indications for vascular surgery perhaps in the form of so-called indication conferences. Also morbidity and mortality conferences are of great importance to minimise similar problems after a broad multi-disciplinary discussion of complications and deaths which have occurred in the vascular service. By using vascular registers each individual surgeon can compare his own results with a national average or with the results of his colleagues at the actual hospital. Self-assessment programmes in vascular surgery should also include the results of diagnostic work performed in vascular laboratories. in this way we can get an impression of the sensitivity, the specificity, and overall accuracy for the procedures performed by the laboratory. A self-assessment programme should in conclusion be an integrated part of the practice of every surgeon.
自我评估可由每位外科医生单独进行，也可由医院某一亚专业的一组外科医生进行。个人自我评估程序可通过使用适当软件和个人电脑来完成。在一些国家，这种自我评估是重新认证考试的良好准备。自我评估程序的其他部分应包括血管外科手术指征，或许可以采用所谓的指征会议形式。此外，发病率和死亡率会议对于在对血管科发生的并发症和死亡进行广泛的多学科讨论后尽量减少类似问题非常重要。通过使用血管登记册，每位外科医生可以将自己的结果与全国平均水平或实际医院同事的结果进行比较。血管外科的自我评估程序还应包括血管实验室进行的诊断工作结果。通过这种方式，我们可以了解实验室所执行程序的敏感性、特异性和总体准确性。总之，自我评估程序应成为每位外科医生实践的一个组成部分。
