Resident training in obstetric anesthesia in the United States
Resident training in obstetric anesthesia in the United States
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DOI：
10.1016/j.ijoa.2006.04.013
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发表时间：
2006-10-01
影响因子：
2.8
通讯作者：
Tsen, L. C.
中科院分区：
文献类型：
--
作者：
Panni, M. K.;Camann, W. R.;Tsen, L. C.
背景资料：有限的信息存在于产科麻醉的经验和培训住院医师培训programmes in the United States.Methods：一项调查被发送到每一个学术麻醉培训计划在美国（n=120），与后续提醒无应答者。调查包括14个问题，分为人员配备，教学和流行病学关于产科麻醉的做法，在每个学术institution.Results：78%（93/120）的响应率实现。根据每年的分娩次数，将返回的调查分为三个等级，从最低（第1组）到最高（第3组）。各院舍的产科分娩总数由340宗至15800宗不等。每月平均有2.6名住院医生轮流接受产科麻醉，每月平均有2.7名住院医生接受产科麻醉服务。产科麻醉讲座平均每月12次。据报告，共有21.5名产科麻醉研究员在这些机构接受培训，研究员在大型机构中更为常见。组1机构更有可能有麻醉师同时覆盖主手术室和产科套房。产科麻醉工作人员/机构的平均人数为4.3人。平均剖宫产率为27.8%，其中5.8%在全身麻醉下进行。平均70.3%的分娩产妇使用神经轴技术，与联合脊髓apneurals占24.6%techniques.Conclusion：产科分娩的平均数量，每年的住院医师培训计划的机构为3498 +/- 2383。专门的产科麻醉人员配置在>3700次分娩/年时更为常见;这种人员配置的存在对应于剖宫产全身麻醉使用的减少。住院医师讲座教学曝光的差异不大，观察到的讲座和月的产科麻醉服务的数量，虽然有显着更多的临床病例提供给每个居民在这些机构的产科病例总数更大。(C)2006爱思唯尔有限公司版权所有。
Background: Limited information exists on obstetric anesthesia experience and training within residency training programs in the United States.Methods: A survey was sent to every academic anesthesiology training program in the United States (n=120), with follow-up reminders to non-responders. The survey included 14 questions divided into staffing, didactic teaching and epidemiology regarding the practice of obstetric anesthesia at each academic institution.Results: A response rate of 78% (93/120) was achieved. The returned surveys were grouped into three tiers by the number of deliveries/year from the lowest (Group 1) to the highest (Group 3). The total number of obstetric deliveries at each institution ranged from 340 to 15800. The average number of residents/month rotating on obstetric anesthesia was 2.6 and the number of months spent on the obstetric anesthesia service was 2.7. The average number of obstetric anesthesia lectures given was 12 per month. A total of 21.5 obstetric anesthesia fellows were reported to train at these institutions, with fellows being more common in larger institutions. Group 1 institutions were more likely to have anesthesiologists covering the main operating room and obstetric suite simultaneously. The average number of obstetric anesthesia staff members/institution was 4.3. The average cesarean section rate was 27.8%, with 5.8% being performed under general anesthesia. Neuraxial techniques were used in an average of 70.3% of laboring parturients, with combined spinal epidurals accounting for 24.6% of the techniques.Conclusion: The average number of obstetric deliveries per year for institutions with a resident training program was 3498 +/- 2383. Dedicated obstetric anesthesia staffing was more common when >3700 deliveries/year were performed; the presence of this staffing corresponded with a reduction in the use of general anesthesia for cesarean deliveries. Few differences in the resident lecture didactic exposure were observed in terms of numbers of lectures and months on the obstetric anesthesia service, although a significantly greater number of clinical cases was available to each resident in those institutions with greater overall numbers of obstetric cases. (C) 2006 Elsevier Ltd. All rights reserved.