Participation of surgical residents in operations: challenging a common classification.
Participation of surgical residents in operations: challenging a common classification.
复制标题
外科住院医生参与手术：挑战共同的分类。
DOI：
10.1007/s00268-012-1658-1
复制
发表时间：
2012
影响因子：
2.6
通讯作者：
Bezemer J
中科院分区：
文献类型：
--
作者：
Bezemer J
背景住院医师的外科培训的一个重要形式是他们参与实际操作，例如作为助理或监督外科医生。本研究的目的是探讨什么参与业务需要，以及如何可能被描述和analyzed.MethodsA定性研究进行了一个主要的教学医院在伦敦。共观察了122例普通外科手术。一个子样本的14例腹腔镜胆囊切除术涉及一个或多个居民进行了详细分析。录音和录像的8个操作进行转录和分析linguistic.ResultsThe学员的参与程度经常转移的操作进展到下一个阶段。每个阶段的参与情况也各不相同。当学员在监督下操作时，主管不断调整他们的控制程度，居民的手术maneuver.ConclusionsClassification，如“助理”和“监督外科医生”描述了一个学员的整体参与的操作可能会歪曲居民和主管的不同参与。录像为记录和分析实际参与行动的情况提供了一种有用的替代办法。
BackgroundOne important form of surgical training for residents is their participation in actual operations, for instance as an assistant or supervised surgeon. The aim of this study was to explore what participation in operations entails and how it might be described and analyzed.MethodsA qualitative study was undertaken in a major teaching hospital in London. A total of 122 general surgical operations were observed. A subsample of 14 laparoscopic cholecystectomies involving one or more residents was analyzed in detail. Audio and video recordings of eight operations were transcribed and analyzed linguistically.ResultsThe degree of participation of trainees frequently shifted as the operation progressed to the next stage. Participation also varied within each stage. When trainees operated under supervision, the supervisors constantly adjusted their degree of control over the resident’s operative maneuvers.ConclusionsClassifications such as “assistant” and “supervised surgeon” describing a trainee’s overall participation in an operation potentially misrepresent the varying involvement of resident and supervisor. Video recordings provide a useful alternative for documenting and analyzing actual participation in operations.