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Written by: Zhang Meilan, Zhu Haiqi, Li Enci, Zheng Cuibi
2021-07-12 12:00
Last update date: 2021-07-12 12:00
"Hong Kong 01" exclusively revealed that Wu International, a professor at the Chinese University School of Medicine and the head of Hepatobiliary and Pancreatic Surgery at Prince of Wales Hospital, allowed a young female doctor to perform a difficult bile duct ileum connection operation. Several hepatobiliary and pancreatic surgeons agreed that this The operation should be done by an experienced doctor.
The process of becoming an independent surgeon is not easy.
Medical students take a six-year course, and after completing a one-year internship, they still need to receive at least six years of specialized surgical training. After passing multiple exams, they can become surgeons, that is, at least 13 years.
Surgeons pay attention to the exquisite skills of "handsmanship", so they need to complete 800 major operations during the training period.
However, the female doctor surnamed Yu involved has only received one year of surgical training. It can be said that she is only at the starting point of honing her medical skills, but she has been approved by Wu International to be responsible for difficult operations.
Extended Reading: 01 Exclusive | Female doctors trained for one year are allowed to perform difficult operations, causing criticism by a team in the hospital
"Hong Kong 01" learned that in June, Wu International approved a female doctor who was receiving the first year of specialist training to perform difficult bile duct and ileal surgery for patients with tumors.
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Surgery specialist training in the first year of training in surgery and then doing clinical work
According to the webpage of the School of Surgery, specialized surgical training is divided into two stages: basic and advanced training. After completing the internship, doctors can apply for a two-year basic surgical training (Basic Surgical Training). For work in the department or intensive care department, the remaining one year can study in orthopedics, brain surgery, cardiothoracic surgery, pediatric surgery, urology or plastic surgery. After they pass regular assessments and mid-term exams, they can apply to the School of Surgery. Clearance" to Advanced Training (Higher Surgical Training).
Many hepatobiliary and pancreatic surgery authorities have stated that connecting the bile duct to the intestine is an extremely difficult operation.
The picture shows the intestinal model.
(Information Picture/Photographed by Zhang Haowei)
800 major surgeries have classification regulations
In the advanced training, the trained doctors must choose the subjects for further study, and the training period of each subject is different.
Cardiothoracic surgery and brain surgery require five years of training; general surgery, pediatric surgery, plastic surgery, and urology require four years of training.
The assessment requirements of each department are different. Taking general surgery as an example, one of the requirements is to complete 800 major operations within four to five years, including 200 esophagus, stomach, and duodenoscope examinations; 100 colonoscopy examinations; bowel examinations Resection and anastomosis, small bowel gas repair, cholecystectomy, and thyroidectomy each account for 20; 10 mastectomy, etc.
The School of Surgeons under the Academy of Medical Sciences stated that pancreaticoduodenectomy is usually only performed by doctors who have obtained the qualifications of academicians of the Academy.
(Data Picture/Photographed by Lin Ruoqin)
"Hong Kong 01" asked the School of Surgeons in charge of training surgeons whether the biliary ileal anastomosis procedure is suitable for the first-year trained doctors. The hospital replied that pancreaticoduodenectomy is usually only performed by doctors who have obtained the academician qualifications of the academy. responsible for.
In other words, they are doctors who have completed at least six years of training and passed the exam.
The female doctor surnamed Yu who was involved this time only graduated from the School of Medicine of CUHK in 2019 and began to receive surgical training last year.
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A surgeon from Queen Mary Hospital stated that the trained doctors will work with a surgical team. There is no explicit stipulation that they are not allowed to participate in the types of operations. "All operations can be participated, depending on whether the team is able to perform the operation." If the team is more responsible for the complexity During surgery, there may be more opportunities for trained doctors to contact.
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