Participation of Surgical Residents in Operations: Challenging a Common Classification

被引：12

作者：

Bezemer, Jeff ^{[1
]}

Cope, Alexandra ^{[1
]}

Faiz, Omar ^{[1
]}

Kneebone, Roger ^{[1
]}

机构：

[1] Univ London Imperial Coll Sci Technol & Med, Div Surg, London W2 1BL, England

来源：

WORLD JOURNAL OF SURGERY | 2012年 / 36卷 / 09期

关键词：

MORBIDITY; SURGERY; IMPACT;

D O I：

10.1007/s00268-012-1658-1

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

One 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. A 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. The 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. Classifications 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.

引用

页码：2011 / 2014

页数：4

共 6 条

[1] A randomized prospective study of complications between general surgery residents and attending surgeons in near-total thyroidectomies [J].