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内血管革命对血管训练的影响,通过分析国家数据,案例报告
Alexis Roth1, Oscar Moreno2, Tyler Santos3
1College of Medicine, State University of New York, Downstate Health Sciences University, Brooklyn, NY.
血管外科培训已经适应了内血管手术,但学员仍然进行更多的开放手术. 在特定的公开程序培训中出现了缺陷.
科学领域:
- 血管外科培训 血管外科培训
- 外科教育的外科教育
- 内血管程序 内血管程序
背景情况:
- 血管外科领域在过去二十年中,内血管手术的数量显著增加.
- 这种转变需要检查其对外科手术培训范式的影响.
研究的目的:
- 分析内血管技术日益普及对血管外科培训生的影响.
- 为了比较整合住院和奖学金计划的外科经验随着时间的推移而变化.
- 确定综合住院和奖学金模式之间的培训差异.
主要方法:
- 美国医学研究生教育认证委员会 (Utilized Accreditation Council for Graduate Medical Education) 从1999年至2021年为奖学金和2012年至2021年为综合住院的全国数据案例日志.
- 将所有手术分类为开放式或内血管,并进一步分类 (例如动脉瘤修复,脑血管,外围动脉疾病).
- 在不同的时间间隔和培训计划中,每名实习生每年比较程序的流行率和平均病例.
主要成果:
- 同学内血管手术增加了362.37%,而开放手术增加了32.47%.
- 综合住院显示,开放程序增加了8.52%;住院每年比研究员进行的总体,开放和内血管病例更多.
- 尽管内血管干预的增加,但开放程序占两种培训类型的总病例的52-53%.
结论:
- 血管外科培训成功地整合了新的内血管技术,同时保持了开放的外科培训.
- 实习生继续执行大多数开放程序,但特定的开放程序类型显示数量下降.
- 不断发展的培训需要解决某些开放外科手术程序的缺陷.
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