Who took away the due surgery from the Chinese residents and how to make it up

Zhifei Wang1, Yue Gao2, Dahong Zhang3, Defei Hong1, Hong Wang4, Yan Li5, Dongsheng Huang1. 1Department of Hepatobiliary, pancreatic and minimally invasive surgery, 2Biomedical Engineering, Cleveland Clinic Foundation,9500 Euclid Ave, Cleveland, OH 44195., 3Department of Urology, Zhejiang Provincial People’s Hospital, 4Department of Anesthesiology, .Wayne State University/Detroit Medical Center.McLaren Flint Hospital. Detroit, MI, USA, 5Department of Neurosurgery, University of Rochester Medical Center, 601 Elmwood Ave, Rochester, NY 14642

Abstract Background: The Chinese surgical training is always confusing to most of the surgeons outside of China. In fact, such training, being not regulated and efficient, is even more complained by the residents. The worse is that such problem is not fully paid attention and current system and situation are limited in the solution.

Objective: To explore the underline reasons for the Chinese residents current status of being deprived of surgical training, esp, for hand on training, at many teaching hospitals during their Chinese standardized resident training. And to propose a possible solution for this problem given such background.

Methods: The reasons were analyzed from different angles: the resident’s side, the attending’s side, the hospital’s side and the patient’s side. Also the current conflicts and controversy in Chinese medical education system were analyzed. The advantages of the surgical training system of America were discussed and compared. A simulation based training approach was suggested given the fact that many underlining causes are not supposed to be solved within short time.

Results: The current Chinese surgical training system is far from being sufficient to provide the resident enough exposure for surgical training. The simulation system, though still a lot the be accomplished, is an alternative choice.

Conclusions: Surgical residents should be paid more attention for their hand on training, the simulation system may better meet the basic requirements in a safe and effective way.

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