Innovative Clinical Scenario Simulator for Step-by-Step Microsurgical Training.

IF 2.2 3区 医学 Q2 SURGERY
Journal of reconstructive microsurgery Pub Date : 2024-09-01 Epub Date: 2024-01-08 DOI:10.1055/a-2240-1305
Lei Cui, Yan Han, Xin Liu, Bao L Jiao, Hong G Su, Mi Chai, Miao Chen, Jun Shu, Wen W Pu, Le R He, Yu D Han
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引用次数: 0

Abstract

Background:  Microsurgical training should be implemented with consideration of operative difficulties that occur in actual clinical situations. We evaluated the effectiveness of a novel clinical scenario simulator for step-by-step microsurgical training that progressed from conventional training to escalated training with additional obstacles.

Methods:  A training device was designed according to multiple and intricate clinical microsurgery scenarios. Twenty surgical residents with no experience in microsurgery were randomly assigned to either the control group (conventional training curricula, n = 10) or the experimental group (step-by-step training courses, n = 10). After 4 weeks of laboratory practice, the participants were scheduled to perform their first microvascular anastomoses on patients in an operating room. The Global Rating Scale (GRS) scores and operative duration were used to compare microsurgical skills between the two groups.

Results:  There were no significant differences in the participants' baseline characteristics before microsurgical training between the groups with respect to age, sex, postgraduate year, surgical specialty, or mean GRS score (p < 0.05). There were also no significant differences in recipient sites between the two groups (p = 0.735). After training, the GRS scores in both groups were significantly improved (p = 0.000). However, in the actual microsurgical situations, the GRS scores were significantly higher in the experimental than control group (p < 0.05). There was no significant difference in the operative duration between the two groups (p < 0.13).

Conclusion:  Compared with a traditional training program, this step-by-step microsurgical curriculum based on our clinical scenario simulator results in significant improvement in acquisition of microsurgical skills.

创新的临床情景模拟器,用于逐步进行显微外科培训。
背景显微外科培训应考虑到实际临床情况中出现的手术困难。我们评估了一种新型临床情景模拟器在显微外科培训中的有效性,该模拟器可从常规培训逐步升级到带有额外障碍的培训。方法 根据多种复杂的临床显微外科场景设计了一种训练装置。20 名没有显微外科经验的外科住院医师被随机分配到对照组(传统培训课程,n = 10)或实验组(逐步培训课程,n = 10)。经过 4 周的实验室练习后,学员们被安排在手术室为患者进行首次微血管吻合术。采用全球评分量表(GRS)评分和手术时间来比较两组学员的显微外科技能。结果 两组学员在接受显微外科培训前的基线特征在年龄、性别、研究生年级、外科专业或平均 GRS 评分方面无明显差异(P < 0.05)。两组受术者的受术部位也无明显差异(P = 0.735)。培训后,两组的 GRS 评分均有明显提高(p = 0.000)。但在实际显微外科手术中,实验组的 GRS 评分明显高于对照组(p < 0.05)。两组在手术时间上没有明显差异(P < 0.13)。结论 与传统的培训计划相比,这种基于临床情景模拟器的分步显微外科课程能显著提高显微外科技能的掌握程度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.50
自引率
28.60%
发文量
80
审稿时长
1 months
期刊介绍: The Journal of Reconstructive Microsurgery is a peer-reviewed, indexed journal that provides an international forum for the publication of articles focusing on reconstructive microsurgery and complex reconstructive surgery. The journal was originally established in 1984 for the microsurgical community to publish and share academic papers. The Journal of Reconstructive Microsurgery provides the latest in original research spanning basic laboratory, translational, and clinical investigations. Review papers cover current topics in complex reconstruction and microsurgery. In addition, special sections discuss new technologies, innovations, materials, and significant problem cases. The journal welcomes controversial topics, editorial comments, book reviews, and letters to the Editor, in order to complete the balanced spectrum of information available in the Journal of Reconstructive Microsurgery. All articles undergo stringent peer review by international experts in the specialty.
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