[外科住院医师在a类非大学研究生教学医院做手术的频率是多少?]

U Derungs, P Nussbaumer, Ch Sommer, A Leutenegger, M Furrer
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引用次数: 2

摘要

导读:普外科研究生新培养方案出台后,完成手术清单仍是最重要的一步。基于我们的手术数量,我们检查了住院医生是否会在我们的非大学教学医院(A类)执行要求的干预措施。方法:对于1998-2002年的8例示踪手术,我们回顾性统计了非私立医院患者的病例数,并考虑了操作人员的研究生学历。在此期间,团队由51名住院医师(71个教育年限)组成,其中18名普外科候选人进行干预(35个教育年限,包括ICU、急诊室和特殊外科学科的轮转)。结果:在所有示踪手术中,达到了实现前四年教育目标所需的每年干预次数和候选人:阑尾切除术8.9次,腹腔镜胆囊切除术7.3次,开放式腹股沟疝修补术9.4次,静脉曲张手术12.1次,开放式乙状结肠切除术3.2次,髋关节及踝部骨折6.9次,甲状腺切除术5次。结论:我院实现了以完成手术清单为主要培训目标。根据我们的结构化教育计划,研究生教育的需求也将得到满足。然而,进一步的研究必须检查新居民的工作合同规定减少每周工作时间的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[How often do surgical residents operate in a category A non-university post-graduate teaching hospital?].

Introduction: After introduction of the new postgraduate training program for general surgery the completion of the operation list still represents the most important step. Based on our number of operations we examined whether residents would carry out the requested interventions at our non-university teaching hospital (category A).

Method: For eight tracer operations we retrospectively counted the number of cases of the non private patients from 1998-2002 and took account of the postgraduate education status of the operator. In this period the team consisted of 51 residents (71 education years), of whom 18 candidates for general surgery who carried out the interventions (35 education years, inclusive rotation in ICU, emergency room and special surgical disciplines).

Results: Regarding all tracer operations, the amount of interventions per year and candidate which are necessary to accomplish the goal for the first four years of education are reached: appendectomy 8.9, laparoscopic cholecystectomy 7.3, open inguinal hernia repair 9.4, varicose veins operation 12.1, open colon sigmoideum resection 3.2, hip and malleolar fracture 6.9, hemithyreoidectomy 5.

Conclusion: Completion of the operation list as the major training goal was reached at our institution. Following our structured education program the demands regarding postgraduate education will be met also in future. Further studies however, must examine the impact of the new resident's work contracts dictating a reduction of the weekly working hours.

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