在初级泌尿器科住院医生的操作经验的纵向变化
Ezra J Margolin1, Daniel Schoenfeld1, Caleb H Miles2
1Department of Urology, Columbia University Irving Medical Center, New York, NY.
Urology
|July 3, 2023
概括
泌尿外科住院培训显示,初级住院人员的重大外科病例暴露率下降,同时内镜手术的增加. 这一转变可能会影响新的泌尿科医生手术准备.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 外科教育的外科教育
- 医疗培训 医学培训
背景情况:
- 人们越来越担心泌尿器科住院医生是否准备好独立执业.
- 这种感知缺陷可能源于在住院早期减少了对复杂外科病例的接触.
研究的目的:
- 分析初级泌尿器科住院医生手术病例数量的纵向趋势.
- 在泌尿器科住院期间调查主要和内镜病例暴露的变化.
主要方法:
- 从美国12个学术医疗中心 (2010-2017年) 的244名泌尿器科住院毕业生的非身份化病例日志的回顾性分析.
- 主要结局:第一年泌尿外科住院医生主要病例数量的变化 (URO1).
- 负二项式回归用于测量案例体积中的趋势.
主要成果:
- 总共有391,399个案件被记录在案.
- URO1居民的中位数主要病例从64个下降到49个 (2010-2017年),这一趋势主要发生在瘤学领域.
- URO1居民的内镜病例中位数从85增加到194,不成比例地超过老年居民.
结论:
- 在初级泌尿器科住院医生中观察到病例分布的显著转变.
- 在URO1居民中,重大病例暴露率下降,内镜手术增加.
- 需要进一步的研究来评估这些趋势对外科手术能力的影响.
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