手术中的神经多样性:在一个苛刻的职业中拥抱认知差异
Michael El Boghdady1, Hussayn Shinwari2
1The University of Edinburgh, Edinburgh, UK; Department of Surgery, Royal Surrey Hospital, England, UK.
神经分离外科医生拥有宝贵的技能,但在外科培训和实践中面临着重大障碍. 提高意识和包容性支持系统对于他们的成功和增强外科手术工作人员多样性至关重要.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 医疗保健中的神经多样性
背景情况:
- 神经多样性,包括自闭症和ADHD等疾病,在教育中得到认可,但在外科手术中未得到充分研究.
- 了解外科专业的神经多样性对于包容性劳动力发展至关重要.
研究的目的:
- 系统地审查外科医生和医疗保健专业人员之间关于神经多样性的现有文献.
- 确定神经分离个体在手术中的患病率,挑战,优势和支持需求.
主要方法:
- 按照PRISMA 2020指南进行系统审查,搜索多个数据库,直到2025年7月.
- 独立的选,数据提取和两名审查员对符合条件的研究进行评估.
- 叙事综合组织成五个关键领域:流行,挑战,优势,支持和文化方面.
主要成果:
- 四项研究符合纳入标准,其中神经分歧特征的流行率各不相同 (例如,土耳其学员中31.6%的ADHD症状).
- 神经分离的实习生报告了评估和职业期望的挑战,并引用了创造力和弹性等优势.
- 支持性干预和公平的招聘流程显示出减轻神经分离外科医生面临的不利因素的潜力.
结论:
- 神经多样性在外科手术中未得到充分承认,尽管神经多样性外科医生的宝贵贡献.
- 系统和文化障碍阻碍了神经分离外科医生;需要更大的意识和适应.
- 包容性培训框架和减少耻辱感对于支持神经分离外科医生和培养多样化的外科工作人员至关重要.
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