尾切除术中的手术成果和培训公平:核心外科实习生是否获得公平的机会?
Ananya Nayak1, Obed Amoako-Adjei2, Rabia Arshad1
1General Surgery, Mid Yorkshire Teaching NHS Trust, Wakefield, GBR.
Cureus
|December 3, 2025
概括
核心外科实习生 (CST) 进行了较少的尾切除术,但取得了与注册员和顾问相似的结果. 建议增加CST的监督自主性,以改善外科培训和劳动力的可持续性.
科学领域:
- 外科教育的外科教育
- 尾切除术的结果
- 实习生能力 实习生能力
背景情况:
- 尾切除术是核心手术学员 (CST) 的一个关键指数程序.
- 人们担心,由于服务压力和工作时间限制,CST的操作暴露减少.
- 这项研究评估了CST在尾切除术中的参与,并比较了不同级别的外科医生之间的结果.
研究的目的:
- 评估核心外科实习生参与尾切除手术的程度.
- 为了比较由顾问,注册员和CST进行的尾切除术的安全性,疗效和结果.
- 确定影响学员作战经验和准备能力的因素.
主要方法:
- 在2023年12月至2024年6月期间进行的254次尾切除术的回顾性审查.
- 提取的数据包括人口统计,术前和术后的结果.
- 案件按主要运营商 (顾问,注册员,CST) 分类,并使用多变量后勤回归分析.
主要成果:
- CSTs执行了15.0%的尾切除术,相比之下,注册人员执行了66.9%,顾问执行了18.1%.
- 在所有级别的外科医生中,手术持续时间,停留时间,并发症率和再入院率都相似.
- 在调整混因素后,外科医生等级不是并发症或再入院的独立预测因素.
结论:
- 核心外科实习生在尾切除方面取得了与高级外科医生相似的结果.
- 公平的案例分配和监督的CST自主性对于充分的操作曝光至关重要.
- 建议对实习生参与指数程序进行国家评估,以优化外科培训和劳动力的可持续性.
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