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首页> 外文期刊>Journal of minimal access surgery >A structured preceptorship programme for laparoscopic colorectal surgery in Wales: An early experience
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A structured preceptorship programme for laparoscopic colorectal surgery in Wales: An early experience

机译：威尔士腹腔镜结直肠手术的结构化治疗师资格计划：早期经验

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INTRODUCTION:A single experienced laparoscopic colorectal surgeon introduced an outreach preceptorship programme (OPP) for laparoscopic colorectal surgery (LCS) in Wales with the aim of supporting consultants in the early stages of their learning curve, as well as to help avoid some of the problems faced by self-taught laparoscopic surgeons. The structured programme consisted of a minimum 1 day master class at the preceptor's operating theatre, followed by multiple outreach visits by the preceptor. The aim of this study was to evaluate the effectiveness and early experience of this programme.MATERIALS AND METHODS:Clinical end-points (conversions, morbidity/mortality and length of hospital stay) were analysed from a prospectively maintained database. Evaluation of the programme was based on interviews with the preceptee surgeons performed by a neutral observer.RESULTS:Between May 2008 and July 2010, 11 Consultants (six hospitals) were preceptored (two still in programme). 66 cases (20 in the master class, 46 as an outreach service) were performed as a part of this programme. Clinical outcome: Conversion rate and 30-day mortality was 1.5%. Morbidity was reported at 12% (8/66) and median length of stay was 6 days. Programme evaluation: All interviewed respondents found the master class and outreach service to be well-organised and would recommend it to their colleagues. The median number of outreach visits per hospital was 5. All the preceptees have performed independent cases since the programme.CONCLUSION:This OPP delivers one-to-one coaching at the point of service delivery and has been shown to be effective in achieving safe transference of skills to those wishing to develop a service for LCS.
机译：简介：一位经验丰富的腹腔镜结直肠外科医师在威尔士引入了一项针对腹腔镜结直肠外科手术（LCS）的外展术前培训计划（OPP），旨在为顾问在他们学习初期的阶段提供支持，并帮助他们避免某些问题。自学成腹腔镜外科医生。结构化的计划包括在导师的手术室至少上1天的大师班，然后导师进行多次外访。材料和方法：从前瞻性维护的数据库中分析了临床终点（转化率，发病率/死亡率和住院时间）。结果：在2008年5月至2010年7月之间，有11位顾问（六家医院）接受了指导（两名仍在计划中）。作为该计划的一部分，执行了66例（大师班20例，外展服务46例）。临床结果：转化率和30天死亡率为1.5％。据报道发病率为12％（8/66），中位住院时间为6天。计划评估：所有受访者都认为大师班和外展服务组织得很好，并会推荐给他们的同事。自该计划以来，每家医院的外联就诊中位数为5。结论：该OPP在服务提供时提供一对一的指导，并已被证明可有效实现安全转移那些希望为LCS开发服务的人的技能。

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