在毕业的整形外科住院医生中,手腕和手臂关节透视手术程序的体积较低
Francis J Sirch1, Daniel K Devine2, Suleiman Y Sudah1
1Department of Orthopedic Surgery, Monmouth Medical Center, Long Branch, New Jersey, U.S.A.
Arthroscopy, sports medicine, and rehabilitation
|March 5, 2025
概括
整形医生住院医生很少进行手腕和手臂关节镜检查,其变异性很大. 这种低暴露凸显了需要改进培训,以提高这些程序的熟练程度和患者护理.
科学领域:
- 整形外科手术 整形外科手术
- 外科教育的外科教育
- 手和手腕关节镜术 手和手腕关节镜术
背景情况:
- 关节镜越来越多地用于手腕手术.
- 评估住院手术体积对于外科培训至关重要.
- 案例日志中的变化可能会影响技能获取.
研究的目的:
- 为了评估手腕和手臂关节镜术的病例数量和变异性,在整形外科住院医生中.
- 为了在五年内识别关节镜手腕和手部病例日志的趋势.
主要方法:
- 医学研究生教育认证委员会 (ACGME) 2016-2020年手术病例日志数据的分析.
- 手腕和手关节镜手术程序的分类.
- 平均病例数量的比较和病例数量百分位数的呈现 (第10至第90位) 来证明变化.
主要成果:
- 每位居民的平均手腕和手部关节镜手术总数从2016年的4.6个下降了34.8%,到2020年的3个 (P < .001).
- 观察到显著的病例日志变化,第10个和第90个百分点在2016年从0到10个病例,2020年从0到7个病例之间.
- 大约10%的毕业生每年只进行一次手腕和手臂关节镜检查,50%的人每年进行三次或更少的关节镜检查.
结论:
- 整形外科医生对手腕和手部关节透视的暴露是低的和高度可变的.
- 目前的培训可能没有充分准备住院人员在手腕手术中越来越多地使用关节镜.
- 考虑实施病例最小值可以提高住院人员的熟练程度和患者护理.
相关概念视频
01:09Bones of the Upper Limb: Radius
2.0K
The radius is longer of the two bones that make up the human antebrachium or forearm. At the proximal end, the radius articulates with the capitulum of the humerus and the radial notch of the ulna to form the elbow joint. At the distal end, the radius articulates with the ulna via the ulnar notch, forming the distal radioulnar joint. Distally, the radius also attaches to the carpal wrist bones (scaphoid and lunate) to form the radiocarpal joint.
The radius has a nail-shaped head, and a...
The radius has a nail-shaped head, and a...
2.0K
01:12Arteries of the Upper Limbs
354
The subclavian artery transitions into the axillary artery as it exits the chest and enters the axillary region. This artery is critical for supplying blood to the shoulder area, including the head of the humerus, through the humeral circumflex arteries. As the vessel continues into the upper arm or brachium, it becomes the brachial artery. This artery plays a key role in vascularizing the brachial region and bifurcates at the elbow into several branches. These branches include the deep...
354
01:26Endoscopic Studies II: Thoracocentesis
190
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
190