Mesh : Humans Mammaplasty / education methods Female Breast Neoplasms / surgery Brazil Mastectomy / education methods Clinical Competence

来  源:   DOI:10.1590/1806-9282.2024S119   PDF(Pubmed)

Abstract:
OBJECTIVE: The radical change in the treatment of breast cancer has promoted the necessity for more comprehensive training of the professionals involved, ensuring the preservation of oncological safety while also allowing for cosmetic interventions to benefit breast cancer survivors. The aim of this study was to present the methods employed in the training of breast surgeons, highlighting the importance of oncoplasty and breast reconstruction.
METHODS: A literature review was conducted in two databases, identifying articles related to medical education in the context of oncoplastic surgery and breast reconstruction. We also assessed the Brazilian experience in oncoplastic centers.
RESULTS: The basis for educational discussions was derived from 16 articles. We observed approaches that included hands-on courses utilizing simulator models, porcine models, cadaver labs, and fellowship programs. Positive outcomes were observed in Brazil, a fact based on seven oncoplasty training centers for senior mastologists and five training centers for junior mastologists. From 2009 to 2023, an estimated 452 seniors and 42 juniors received training, representing approximately 30% of mastologists in Brazil who have acquired training and experience in oncoplasty.
CONCLUSIONS: Despite the limited number of publications on training methods, oncoplastic centers have made significant progress in Brazil, establishing a successful model that can be replicated in other countries.
摘要:
目的:乳腺癌治疗的根本性变化促使需要对相关专业人员进行更全面的培训,确保保留肿瘤安全性,同时允许美容干预措施使乳腺癌幸存者受益。这项研究的目的是介绍在培训乳房外科医生中采用的方法,强调了肿瘤成形术和乳房重建的重要性。
方法:在两个数据库中进行了文献综述,在肿瘤整形外科和乳房重建的背景下,确定与医学教育相关的文章。我们还评估了巴西在肿瘤学中心的经验。
结果:教育讨论的基础来自16篇文章。我们观察到的方法包括利用模拟器模型的实践课程,猪模型,尸体实验室,和奖学金计划。在巴西观察到积极的结果,这一事实基于七个高级乳腺学家的肿瘤成形术培训中心和五个初级乳腺学家的培训中心。从2009年到2023年,估计有452名老年人和42名大三学生接受了培训,代表巴西约30%的拥有接受过肿瘤成形术培训和经验的乳腺学家。
结论:尽管关于培训方法的出版物数量有限,巴西的肿瘤学中心取得了重大进展,建立一个可以在其他国家推广的成功模式。
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