关键词: Formation chirurgicale Pelvi-périnéologie Pelviperineology Prolapsus urogénital Surgical education Urogenital prolapse

Mesh : Clinical Competence Female France Gynecologic Surgical Procedures / education Gynecology / education Humans Internship and Residency Laparoscopy / education Obstetrics / education Pelvic Organ Prolapse / surgery Surveys and Questionnaires Urologic Surgical Procedures / education

来  源:   DOI:10.1016/j.gyobfe.2016.09.003   PDF(Sci-hub)

Abstract:
OBJECTIVE: For the treatment of prolapse, the vaginal route is less standardized than laparoscopy and seems abandoned by younger doctors. Our objectives were to evaluate the surgical experience of resident and youth gynecology and obstetrics assistants in pelviperineology and the level of confidence and mastery of the different surgical treatment of pelvic.
METHODS: An anonymous questionnaire sent via an Internet platform interviewing residents and young assistants of gynecology and obstetrics (promotion 2005 to 2010) in France on their surgical training in pelviperineology.
RESULTS: Twenty-nine percent (208/724) of the persons contacted responded with two thirds of residents and one third of young assistants, all regions of France were represented. Sixty-four percent of respondents wanted to favor a surgical career. The laparoscopic sacrocolpopexy was declared to be the best method mastered while residents and young assistants reported being more often leading operator in vaginal techniques during their medical training.
CONCLUSIONS: Surgical practice during medical training of resident and young assistants did not seem associated with declared mastery level of technique. Different clinical surgical practice training techniques such as simulation, cadaveric study, movies on surgical technics may also improve the level of confidence and mastery of young doctors for surgical techniques.
摘要:
目的:对于脱垂的治疗,与腹腔镜检查相比,阴道途径的标准化程度较低,似乎已被年轻医生放弃。我们的目标是评估住院医师和青年妇产科助理在骨盆科的手术经验以及对骨盆不同手术治疗的信心和掌握程度。
方法:通过互联网平台发送的匿名问卷,采访了法国妇产科的居民和年轻助手(2005年至2010年晋升),以了解他们在骨盆科的手术培训。
结果:29%(208/724)的联系人回答了三分之二的居民和三分之一的年轻助手,法国所有地区都有代表。64%的受访者希望从事外科手术。腹腔镜sacrocolpopexy被认为是掌握的最佳方法,而居民和年轻助手则报告说,在接受医学培训期间,他们更经常成为阴道技术的领导者。
结论:住院医师和年轻助手接受医学培训期间的外科手术实践似乎与宣布的技术掌握水平无关。不同的临床外科实践培训技术,如模拟,尸体研究,关于外科技术的电影也可以提高年轻医生对外科技术的信心和掌握水平。
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