综合血管培训可能无法让毕业生为护理血管创伤患者做好准备
Rishi Kundi1, Navpreet K Dhillon, Eric J Ley
1From the Division of Vascular and Endovascular Trauma Surgery (R.K., N.K.D., E.J.L., T.M.S.), Program in Trauma, R Adams Cowley Shock Trauma Center, University of Maryland, Baltimore, Maryland; and Riverside University Health System (N.K.D.), Moreno Valley, California.
The journal of trauma and acute care surgery
|December 2, 2024
概括
综合血管 (IV) 计划正在培养更多的外科医生,但毕业生在临床治疗,创伤和非血管外科手术方面的经验较少,与血管学术 (VF) 毕业生相比. 这可能会影响他们管理血管创伤患者的能力.
科学领域:
- 血管外科培训路径 血管外科培训路径
- 手术教育研究研究 手术教育研究
背景情况:
- 血管董事会的资格可以通过综合 (IV) 或通用外科/血管学术 (VF) 途径实现.
- 在过去的十年中,通过静脉注射程序培训的血管外科医生的比例显著增加.
研究的目的:
- 为了比较综合血管 (IV) 毕业生的外科经验与当代血管学会 (VF) 毕业生的外科经验.
- 评估IV毕业生与VF毕业生相比,是否积累了与血管创伤相关的较少经验.
主要方法:
- 对IV和VF毕业生2013-2022年医学研究生教育认证委员会案例日志数据的分析.
- 开放性血管和非血管病例的分类,以及非手术性创伤和重症监护数据的记录.
主要成果:
- 从静脉注射程序中毕业的血管外科医生的比例从2012年的8.3%上升到2022年的32.6%.
- 与VF毕业生相比,IV毕业生登记的上肢,非血管 (部,胸部,腹腔皮层),重症监护和非手术性创伤病例较少.
- VF毕业生记录了更多的下肢病例,而IV毕业生记录了更多的上肢病例.
结论:
- 综合血管毕业生在重症监护,创伤和非血管外科手术方面的经验比VF毕业生少.
- 在开放的外科解剖学和重症监护中,IV毕业生相对缺乏经验,可能会阻碍他们管理血管创伤患者的能力.
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