[Simulation of surgical techniques in graduate education of the surgeon. An analysis of value and effect].
The course in Gastrointestinal Surgery (GISC) aims at teaching and training resection, reconstruction and suture techniques of the upper gastrointestinal tract. Prior to, after and 5 years following the first course, participants were asked to answer a questionnaire requesting information regarding the adequacy of surgical training in their residency program and how much they had benefited from the GISC. While 1/3 of the participants described the surgical training during their residency as inadequate, more than 90% benefited from the GISC. Although the single-layer-continuous suture technique was implemented by only 8% of the participating surgeons, other techniques such as cross-section gastroenterostomy were accepted by 38%. Only 7% of the participants rejected these new techniques, while 41% of the senior surgeons at home could not be convinced. Besides the teaching of new techniques, participants benefited above all from the repetitive training in surgical procedures.
Markus
P M
PM
Abteilung für Allgemeinchirurgie, Georg-August-Universität Göttingen, Robert-Koch-Strasse 40, 37075 Göttingen. pmarkus@med.uni-goettingen.de
Horstmann
O
O
Langer
C
C
Markert
U
U
Becker
H
H
D000818:Animals; D001291:Attitude of Health Personnel; D003479:Curriculum; D013505:Digestive System Surgical Procedures; D004502:Education, Medical, Continuing; D004503:Education, Medical, Graduate; D013502:General Surgery / Q000193:education*; D005858:Germany; D006801:Humans; D007396:Internship and Residency; D010535:Laparoscopy; D013536:Suture Techniques; D013552:Swine