关于一般外科实习生急性护理手术的趋势
Sameh Yousef1, Jin Park1, Franklin Burg1
1Department of Surgery, Mercy Catholic Medical Center, Darby, Pennsylvania.
Journal of surgical education
|November 19, 2025
概括
整体外科住院医生增加了病例总量,但对必要的开放急性护理手术 (ACS) 程序的暴露显著下降. 这种下降引发了对毕业生为基础紧急手术做好准备的担忧.
科学领域:
- 外科教育的外科教育
- 急性护理手术急性护理手术
- 经营经验 经营经验
背景情况:
- 有关普通外科毕业生准备独立执业的情况存在担忧.
- 不断发展的外科手术技术 (如腹腔镜) 对传统的开放手术的影响.
- 对急性护理手术 (ACS) 手术经验的影响还没有得到很好的量化.
研究的目的:
- 评估一般外科实习生在ACS.内的手术经验的时间趋势.
- 量化特定ACS程序随时间暴露的变化.
主要方法:
- 对一般外科住院医生 (2000-2023) ACGME手术病例日志的分析.
- 识别和分类ACS程序.
- 曼-肯达尔趋势测试和线图用于趋势评估.
主要成果:
- 平均总病例数量从903 (2006) 增加到每名学员的1,062 (2023).
- 暴露于关键的开放性ACS手术 (例如,脊髓切除术,穿孔修复) 的暴露率下降到非常低的水平 (<1例/实习生).
- laparoscopic 方法已经在很大程度上取代了开放程序.
结论:
- 尽管总操作量增加,但对基本开放的ACS程序的接触显著下降.
- 这种趋势引发了人们对基础紧急手术的准备情况的担忧.
- 经验的下降可能会导致毕业生感觉到不准备.
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