"泌尿外科住院医师自行设计的基于模拟的腹腔镜培训计划:6 年经验后的结果"

IF 1.8 Q2 EDUCATION, SCIENTIFIC DISCIPLINES
Ramiro Cabello, Gonzalo Bueno-Serrano, Alberto Hernando Arteche, José Miguel Villacampa, Carlos Castilla, Carlos Carnero, María Garranzo Garcia-Ibarrola, Carmen Gonzalez Enguita
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引用次数: 0

摘要

简介学习腹腔镜手术(LAP)具有挑战性,需要掌握与传统开放手术不同的技能。泌尿外科公认需要一个标准化的腹腔镜培训框架来克服这些困难,并将学习曲线从病人转向技能实验室。以模拟为基础的培训已得到广泛评论,但在日常实践中却缺乏实施。我们介绍我们的 "住院医师 LAP 培训计划":2017年至2022年间,11名住院医师参加了我们自行设计的项目:理论:(Moodle平台)基础知识和多媒体内容,用于启动LAP。通过在线考试进行评估。实践:提出 LAP 技能学习练习,鼓励住院医师在可用的箱式训练器和猪模型实验手术中进行练习。每年进行一次现场 E-BLUS(欧洲腹腔镜泌尿外科基本技能)考试。通过匿名在线调查获得反馈:结果:所有住院医师都对该项目给予了积极评价。理论方面:82%的人通过了在线考试。最受重视的题目特殊临床情况下的 LAP、并发症、器械和手术室(OR)的配置。实践:所有住院医师都增加了干实验箱练习。共进行了 23 次实验性手术。64%的住院医师认为,在实验手术室进行模拟训练是掌握腹腔镜技能的必要补充,能让他们更有信心。45%的人认为这对提高他们的手术技巧至关重要。90%的人认为电子BLUS评估是实现灵巧性和更安全手术的一种手段。虽然只有 2 人通过了 E-BLUS 评估,但随着时间的推移,时间和错误都有所减少:我们的 LAP 学习计划包括在安全的环境中学习知识、训练基本技能和手术技巧,以及进行客观评估。鼓励基本技能和手术技巧模拟练习,改进客观评价。它是结构化的、可重复的、系统的,并得到了积极的评价,尽管它需要成功的承诺。 关键词:培训;腹腔镜;住院医师;泌尿科
本文章由计算机程序翻译,如有差异,请以英文原文为准。
“Self-Designed Simulation-Based Laparoscopic Training Program for Urology Residents: Results After 6 Years of Experience”
Introduction: Learning laparoscopy (LAP) is challenging and requires different skills to conventional open surgery. There is a recognized need for a standardized laparoscopic training framework within urology to overcome these difficulties and to shift learning curve from patient to skills laboratory. Simulation-based training has been widely commented, but implementation in real day practice is lacking. We present our “LAP training program for residents”.
Material: Between 2017 and 2022, 11 residents participated in our self-designed program: Theoretical: (Moodle platform) basic knowledge and multimedia content for initiation into LAP. Evaluated through online exam. Practical: exercises for LAP skills acquisition were proposed and encouraged residents’ practice in a box trainer available and experimental surgery sessions on a porcine model. On-site E-BLUS (European Basic Laparoscopic Urologic Skills) examination was performed annually. Feedback was obtained through an anonymous online survey.
Results: All residents positively evaluated the program. Theoretical: 82% passed the online exam. The most valued topics: LAP in special clinical situations, complications, instruments, and configuration of the operating room (OR). Practical: all residents increased dry-lab box practices. A total of 23 experimental surgical sessions were carried out. For 64%, simulation in the experimental OR was a necessary complement to achieve laparoscopic skills and allowed them to feel more confident. Forty-five percent considered it essential to improve their surgical technique. E-BLUS evaluation was valued as a means to achieve dexterity and safer surgery by 90%. Reduction in time and errors were observed through time, although only 2 passed the E-BLUS.
Conclusion: Our program for learning LAP includes the acquisition of knowledge, training of basic skills and surgical technique in a safe environment, as well as an objective evaluation. Encouraged practice of basic skills and surgical technique simulation and improved objective evaluation. It is structured, reproducible, systematic and has been positively valued, although it requires commitment for success.

Keywords: training, laparoscopy, resident, urology
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来源期刊
Advances in Medical Education and Practice
Advances in Medical Education and Practice EDUCATION, SCIENTIFIC DISCIPLINES-
CiteScore
3.10
自引率
10.00%
发文量
189
审稿时长
16 weeks
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