一般外科实习生手术数量的国家趋势 (2013-2022)
Lara Jane Rimmer1, Jessica Tan1, Nayaab Abdul-Kader2
1Association of Laparoscopic Surgeons of Great Britain and Ireland (ALSGBI) Academy Research Group, UK.
概括
英国的外科培训中,手术程序和学员独立性的显著下降. 这一趋势特别影响高级实习生,需要进行调整,以确保未来的咨询师手术专业知识.
科学领域:
- 外科教育的外科教育
- 医疗保健劳动力发展工作人员
- 操作程序分析 操作程序分析
背景情况:
- 英国的外科培训由于技术进步,医疗改革和流行病而经历了显著的演变.
- 事证据表明,在过去的二十年中,实习生操作量和独立性下降.
研究的目的:
- 检查英国普通外科实习生的手术数量和监督趋势.
- 分析涵盖了指数外科手术程序的2013年至2022年期间.
主要方法:
- 利用了来自JCST的匿名日志数据,用于全科医生实习生 (CT1-ST8).
- 数据涵盖了2013年至2022年的时间.
- 统计分析包括斯皮尔曼和皮尔森的等级相关性,以比较随时间推移的趋势.
主要成果:
- 总记录程序的数量显著减少,从2013年的209,661例减少到2022年的147,026例.
- 观察到顾问出席率增加,监督培训师未洗 (STU) 程序的水平降低.
- 高级实习生 (ST6,ST8) 在常见手术 (如 inguinal hernia修复和胆囊切除术) 的 STU 程序中经历了显著的减少.
结论:
- 在所有一般外科培训水平上,手术手术的明显下降得到证实.
- 高级实习生受到减少的经营机会的影响不成比例.
- 需要紧急调整外科培训计划,以确保未来的顾问能力.
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