不同受训医师参与外科手术情况的分析:以甲状(旁)腺外科手术为例  

Analysis of different types of trainee physicians participating in surgery:taking thyroid and parathyroid surgery as an example

作　　者：李根棚 杨加彬 杨霄 魏涛[1] 李志辉[1] 雷建勇[1] LI Genpeng;YANG Jiabin;YANG Xiao;WEI Tao;LI Zhihui;LEI Jianyong(Division of Thyroid Surgery,Department of General Surgery,West China Hospital,Sichuan University,Chengdu 610041,P.R.China;Department of Anesthesiology,West China Hospital,Sichuan University,Chengdu 610041,P.R.China)

机构地区：[1]四川大学华西医院普通外科甲状腺外科病房,成都610041 [2]四川大学华西医院麻醉手术中心,成都610041

出　　处：《中国普外基础与临床杂志》2024年第7期821-826,共6页Chinese Journal of Bases and Clinics In General Surgery

摘　　要：目的以甲状(旁)腺外科手术为例,探讨不同受训医师轮转期间参与外科手术情况,为优化临床外科医师培养提供参考。方法前瞻性随机抽取2021年9月至2022年5月期间于四川大学华西医院甲状腺外科行手术治疗病例,分析年轻受训医师(实习医师、专业型研究生及规培医师)和年长受训医师(进修医师以及本院住院医师和主治医师)参与外科手术情况。结果在抽取的787台甲状(旁)腺外科手术中,相较于年长受训医师,年轻受训医师手术参与率较低,手术参与时长较短,且更倾向于参与每日第1~第3台手术并作为第二或第三助手参与手术。结论实习医师、专业型研究生、规培医师等年轻受训医师的外科手术培训仍有待完善。Objective To discuss the participation of different types of trainee physicians in surgery during rotation practice to provide reference for optimizing the training of clinical surgeons taking thyroid and parathyroid surgery as an example.Methods The cases of thyroid surgery in West China Hospital of Sichuan University from September 2021 to May 2022 were prospective randomly selected and the surgical participation of younger trainee physicians(interns,professional postgraduates,and training physicians)and older trainee physicians(refresher physicians,resident and attending physicians of our hospital)were analyzed.Results Among the 787 surgical cases,compared with the older trainee physicians,the younger trainees had a lower surgical participation rate,shorter participation time and were more likely to participate in the first 1–3 surgeries and participate as the second or third assistant.Conclusion The surgical training of younger trainee physicians,such as interns,professional postgraduates,and training physicians,still needs to be improved.

关 键 词：受训医师 外科手术 甲状(旁)腺 

分 类 号：R653[医药卫生—外科学]