若手耳鼻科医がアブミ骨手術をできるようになるまでに必要なトレーニング Ear surgery training for residents ; How can young doctors get the skill of stapes surgery safely?

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若手耳鼻科医が、慢性中耳炎や真珠腫性中耳炎などの頻度の多い中耳手術を習得することは大切であるが、アブミ骨手術は比較的少ないが中耳の正常解剖と操作手技が理解できるため有用な手術教育プログラムである。<BR>若手医師への耳科手術の教育状況を調べるために、日本耳科学会の評議員にアブミ骨手術について、年間のアブミ骨手術件数、手術医師数、研修の開始時期と範囲、研修に必要または不適な項目、若手医師が希望する耳科手術、などの8項目についてアンケート調査を依頼し90%以上の回答を得た。高回答は、各施設責任者の若手医師教育への高い熱意の表れと考えられる。<BR>耳鼻科専門医の絶対数が減少し、耳科手術治療施設の増加が望めない現状では、多くの若手医師が耳科手術を体得して、患者の術後の聴力回復を実感することが必要である。このためには、アブミ骨手術のような基本的な耳小骨解剖を操作できる手術を身につけることは重要である。

The ear surgery of chronic otitis media or choleateatoma needs very important operations training for ear nose and throat (ENT) residents. They are common ear diseases and so young doctors should get a standard skill of ear surgery. However, stapes surgery is relatively uncommon. It is also important training program for them. They need to learn normal anatomy of the middle ear and treat ossicular conduction.<BR>We performed questionnaire survey to explore training conditions of ear surgery for young ENT doctors. List of questions were sent to the committee members of the Japan Otological Society. Questions consisted of the number of annual stapes surgery and operators, when to start ear surgery training, necessary or disadvantage items for their training, what ear surgery is appropriate for young doctors and so on. More than ninety percent leading doctors answered our survey. This seemed to show the result how important they were thinking ear surgery training.<BR>In Japan, total number of ENT doctors has been decreasing and hospitals available for ear surgery have been also limited recently. Even in this adverse circumstance, training for residents to learn ear surgery is very important and they should experience hearing improvement of patients after ear surgery. Therefore, in normal middle ear anatomy operation like stapes surgery can be very useful training course for young ENT residents.

収録刊行物

  • Otology Japan

    Otology Japan 22(3), 199-204, 2012-07-25

    日本耳科学会

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各種コード

  • NII論文ID(NAID)
    10030959005
  • NII書誌ID(NCID)
    AN10358085
  • 本文言語コード
    JPN
  • 資料種別
    REV
  • ISSN
    09172025
  • データ提供元
    CJP書誌  J-STAGE 
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