Analysis of different types of trainee physicians participating in surgery: taking thyroid and parathyroid surgery as an example_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

LI Genpeng ¹ , YANG Jiabin ² , YANG Xiao ² , WEI Tao ¹ , LI Zhihui ¹ ,  LEI Jianyong ¹

1. Division of Thyroid Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;
2. Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;

Corresponding author：

LEI Jianyong, Email: leijianyong@scu.edu.cn

Keywords：

trainee physician; surgery; thyroid and parathyroid

DOI：

10.7507/1007-9424.202401083

Video：

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Objective To discuss the participation of different types of trainee physicians in surgery during rotation practice to provide reference for optimizing the training of clinical surgeons taking thyroid and parathyroid surgery as an example. Methods The cases of thyroid surgery in West China Hospital of Sichuan University from September 2021 to May 2022 were prospective randomly selected and the surgical participation of younger trainee physicians (interns, professional postgraduates, and training physicians) and older trainee physicians (refresher physicians, resident and attending physicians of our hospital) were analyzed. Results Among the 787 surgical cases, compared with the older trainee physicians, the younger trainees had a lower surgical participation rate, shorter participation time and were more likely to participate in the first 1–3 surgeries and participate as the second or third assistant. Conclusion The surgical training of younger trainee physicians, such as interns, professional postgraduates, and training physicians, still needs to be improved.

Citation： LI Genpeng, YANG Jiabin, YANG Xiao, WEI Tao, LI Zhihui, LEI Jianyong. Analysis of different types of trainee physicians participating in surgery: taking thyroid and parathyroid surgery as an example. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2024, 31(7): 821-826. doi: 10.7507/1007-9424.202401083 Copy

1.	耿磊, 邓俊芳, 胡晨, 等. 外科住院医师规范化培训手术教学和技能培训实践的探讨. 中国毕业后医学教育, 2018, 2(4): 247-249, 263.
2.	赵宁, 胡型锑, 齐心, 等. 《住院医师规范化培训手术操作指导教学指南(2022年版)》解读. 中国毕业后医学教育, 2022, 6(5): 413-417.
3.	郭鹏, 王畅, 王建六, 等. 外科住院医师规范化培训过程中手术技能培训的问题及原因. 中国毕业后医学教育, 2018, 2(6): 408-410.
4.	薛文飞, 田玲玲, 武士青, 等. 研究生扩招背景下加强临床医学学科建设探讨. 现代医药卫生, 2022, 38(6): 1056-1058.
5.	孟莛. 医师专培试点先行. 中国卫生人才, 2017, 3: 12.
6.	胡型锑. 建设合格外科住院医师规范化培训基地的实践与探讨. 中国毕业后医学教育, 2018, 2(1): 14-17.
7.	Davies J, Khatib M, Bello F. Open surgical simulation—a Review. J Surg Edu, 2013, 70(5): 618-627.
8.	Connolly M, Seligman J, Kastenmeier A, et al. Validation of a virtual reality-based robotic surgical skills curriculum. Surg Endosc, 2014, 28(5): 1691-1694.
9.	杨镇. 我国普通外科医师培养模式及教学面临的问题及对策. 中国实用外科杂志, 2015, 35(1): 30-33.
10.	王晓侠, 刘俊松, 姚小宝. 头颈外科医师手术培训的实践与思考—以超声引导下甲状腺良性结节微波消融手术为例. 中国医学教育技术, 2020, 34(4): 518-520,528.
11.	江莲, 张悦, 程春燕. “六重并举”住院医师规范化培训带教师资培训体系的探索与实践. 华西医学, 2023, 38(8): 1231-1235.

1. 耿磊, 邓俊芳, 胡晨, 等. 外科住院医师规范化培训手术教学和技能培训实践的探讨. 中国毕业后医学教育, 2018, 2(4): 247-249, 263.
2. 赵宁, 胡型锑, 齐心, 等. 《住院医师规范化培训手术操作指导教学指南(2022年版)》解读. 中国毕业后医学教育, 2022, 6(5): 413-417.
3. 郭鹏, 王畅, 王建六, 等. 外科住院医师规范化培训过程中手术技能培训的问题及原因. 中国毕业后医学教育, 2018, 2(6): 408-410.
4. 薛文飞, 田玲玲, 武士青, 等. 研究生扩招背景下加强临床医学学科建设探讨. 现代医药卫生, 2022, 38(6): 1056-1058.
5. 孟莛. 医师专培试点先行. 中国卫生人才, 2017, 3: 12.
6. 胡型锑. 建设合格外科住院医师规范化培训基地的实践与探讨. 中国毕业后医学教育, 2018, 2(1): 14-17.
7. Davies J, Khatib M, Bello F. Open surgical simulation—a Review. J Surg Edu, 2013, 70(5): 618-627.
8. Connolly M, Seligman J, Kastenmeier A, et al. Validation of a virtual reality-based robotic surgical skills curriculum. Surg Endosc, 2014, 28(5): 1691-1694.
9. 杨镇. 我国普通外科医师培养模式及教学面临的问题及对策. 中国实用外科杂志, 2015, 35(1): 30-33.
10. 王晓侠, 刘俊松, 姚小宝. 头颈外科医师手术培训的实践与思考—以超声引导下甲状腺良性结节微波消融手术为例. 中国医学教育技术, 2020, 34(4): 518-520,528.
11. 江莲, 张悦, 程春燕. “六重并举”住院医师规范化培训带教师资培训体系的探索与实践. 华西医学, 2023, 38(8): 1231-1235.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Analysis of different types of trainee physicians participating in surgery: taking thyroid and parathyroid surgery as an example

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