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手术专业影响手术培训的质量在 Carotid Endarterectomy 中

E Hope Weissler¹, Zachary F Williams¹, Heather W Waldrop¹

¹Division of Vascular and Endovascular Surgery, Department of Surgery, Duke University, Durham, NC.

Annals of vascular surgery

|October 18, 2023

概括

血管外科的实习生比神经外科的实习生更多样化 carotid endarterectomy (CEA) 病例. 在神经外科住院医生中,CEA病例数量正在减少,这可能会影响额外关节动脉疾病的未来实践模式.

科学领域:

神经外科神经外科
血管外科血管外科
外科教育的外科教育

背景情况:

关节内关节切除术 (CEA) 是由多个外科专业进行的.
已知手术专业和手术量对CEA结果的影响.
跨专业的培训人员操作培训质量尚不清楚.

研究的目的:

比较手术培训的质量,对于手术培训的 carotid endarterectomy (CEA) 在手术学员.
评估不同外科专业中CEA病例数量和病例组合的趋势.

主要方法:

研究生医学教育认证委员会使用的2013-2022年年度报告.
对比毕业的血管外科 (VS) 住院医生,VS研究员和神经外科 (NS) 住院医生.
分析了使用线性回归方法报告的首席/高级/主要住院医生,初级外科医生或外科医生同事的病例.

主要成果:

VS居民和研究员的CEA病例总量高于NS居民 (52.8比44.3比12.9,P<0.0001).
VS实习生进行了NS居民没有报告的各种动脉手术 (支架,瘤切除,绕道) (P < 0.0001).
在研究期间,VS研究员 (-1.29例/年) 和NS居民 (-0.41例/年) 的CEA数量下降.

结论:

血管外科培训提供了更多的额外冠状动脉病例数量和多样性.
神经外科实习生显示CEA病例数量的下降趋势.
这些发现可能会影响未来的实践模式外冠状动脉疾病由于体积-结果效应.

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