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首页> 外文期刊>Surgical Endoscopy >Gynecological laparoscopy in residency training program: Dutch perspectives.
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Gynecological laparoscopy in residency training program: Dutch perspectives.

机译：住院医师培训计划中的妇科腹腔镜检查：荷兰的观点。

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BACKGROUND: Implementation of laparoscopy into residency training is difficult. This study was conducted to assess the current state of implementation of laparoscopic surgery into gynecological residency program, to identify factors influencing laparoscopic skills training, and to find solutions toward better training and implementation. METHODS: In 2003 a questionnaire was sent to all 68 postgraduate year 5 and year 6 residents in obstetrics and gynecology in The Netherlands. The questionnaire addressed demographics, performance of laparoscopy, self-perceived competence, simulator training, and factors influencing laparoscopic training in residency. RESULTS: Of the 68 residents, 60 (88%) responded; 46 (37%) were men and 78 (63%) women. Men showed significant higher mean self-perceived competence in some laparoscopic procedures than women. Of the respondents, 20% had no advanced laparoscopic gynecologist present in their teaching hospital. Residents felt that simulator training is important in relationto their performance in the operating room. Of all gynecological teaching hospitals in the Netherlands, 55% did not have the opportunity of simulator training. Of the respondents who had the possibility of simulator training, 33% did not use the simulator voluntarily. Residents who trained on a simulator felt training was significantly more important (p = 0.02) than residents who never practiced on a simulator. Respondents' laparoscopic skills were subjectively evaluated in the operating room (92%) or were evaluated based on the number of laparoscopic procedures performed as primary surgeon (49%). Of the respondents, 47% were satisfied with their current laparoscopic skills and 27% also felt prepared for the more advanced procedures. Not having been primary surgeon in nonacademic teaching hospitals and even more so in academic teaching hospitals (p < 0.05) was a limiting factor in acquiring laparoscopic skills. CONCLUSIONS: Incorporation of basic laparoscopic procedures into residency training has been successful; however, advanced procedures are not. Simulator training is still in its infancy in The Netherlands, is not frequently used voluntarily, and should be mandatory during residency. Acquired laparoscopic skills on a simulator and in the operating room should be objectively assessed, and above all, training of trainers is imperative.
机译：背景：腹腔镜检查在住院医师培训中很难实施。进行这项研究的目的是评估将腹腔镜手术实施到妇科住院医师程序中的当前状态，确定影响腹腔镜手术技能培训的因素，并找到更好的培训和实施方法。方法：2003年，向荷兰68位研究生的5年级和6年级的居民发送了问卷。问卷调查涉及人口统计学，腹腔镜检查的性能，自我感知能力，模拟器培训以及影响腹腔镜住院医师培训的因素。结果：在68位居民中，有60位（88％）回答;男性为46（37％），女性为78（63％）。在某些腹腔镜手术中，男性的平均自我感知能力明显高于女性。在受访者中，有20％的教学医院没有高级腹腔镜妇科医生。居民们认为，模拟器培训对于他们在手术室中的表现很重要。在荷兰所有的妇科教学医院中，有55％的人没有进行模拟器培训的机会。在有可能接受模拟器培训的受访者中，有33％的人没有自愿使用模拟器。在模拟器上进行过训练的居民比没有在模拟器上进行过训练的居民感到训练重要得多（p = 0.02）。在手术室中主观评估受访者的腹腔镜技能（92％）或根据作为主治医师的腹腔镜手术次数进行评估（49％）。在受访者中，有47％的人对他们目前的腹腔镜检查技术感到满意，还有27％的人也为更先进的手术做好了准备。在非学术性教学医院中不是初级外科医师，在学术性教学医院中甚至不是（P <0.05）是获得腹腔镜技术的限制因素。结论：成功地将基本腹腔镜手术纳入住院医师培训;但是，高级程序不是。在荷兰，模拟器培训仍处于起步阶段，不经常自愿使用，在居住期间必须进行模拟器培训。应该客观地评估在模拟器和手术室中获得的腹腔镜技能，最重要的是必须培训培训师。

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