医学生机器人外科课程-1年实施。

IF 1.5 4区 医学 Q3 SURGERY
Jade El-Mohamed, Nyasha Sibanda, Nicholas Sinnett, Siobhan McKay, Matthew Gray, Paul Anderson, Justin Bilszta, Satish Warrier, Tony Costello, Michael W Hii, Helen Mohan
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引用次数: 0

摘要

目的:为医学院二年级学生开发和评估为期4周的机器人外科课程。设计:在实施的第一年(2024年)进行了前瞻性混合方法评估。该课程采用Kern的六步框架设计,集成了异步学习、模拟器培训、技术研讨会和人为因素模拟。学生们使用结构化标准进行评估,包括在ImraSurgical Roboset Hydroskin™上进行的机器人技能全球评估评估(GEARS),在ImraSurgical水凝胶腹壁模型™上进行的开放获取检查表(Hasson技术),以及评估沟通、领导和态势感知的非技术技能的结构化评估工具。课前和课后调查评估了学习者的认知和自我报告的知识(柯克帕特里克1-2级)。环境:这项研究是在国际医疗机器人学院(IMRA)进行的,这是一个专门的手术模拟和机器人培训中心,位于澳大利亚墨尔本,与墨尔本大学医学院合作。该课程是作为医学博士课程的一门探索选修课。在2024学年期间,有35名倒数第二年级的医学生注册了这门课程。结果:在基线时,所有受访者都表示对机器人手术了解有限或没有事先了解,并且对接受机器人手术的患者感到没有准备。节目播出得非常逼真。平均GEARS评分为21.9 (SD 3.4)。平均非技术技能得分为3.83/5 (SD 0.7),平均开放获取得分为3.85/5。小组报告的总平均值为4.83/5。课程结束后,所有受访者都表示知识有所增加,80%的人感到为未来的临床角色做好了更好的准备。动手模拟被评为最有价值的组成部分。结论:一个结构化的、与能力一致的医学生机器人外科课程是可行的,并与积极的教育成果相关。机器人识字、模拟和人为因素培训的早期整合可以更好地为未来的临床医生做好技术支持的外科实践准备。进一步的研究应该检查长期影响和临床转移。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Robotic Surgical Curriculum for Medical Students-1 Year of Implementation.

Objective: To develop and evaluate a 4-week robotic surgery curriculum for penultimate-year medical students.

Design: A prospective mixed-methods evaluation was conducted during the first year of implementation (2024). The curriculum, designed using Kern's six-step framework, integrated asynchronous learning, simulator training, technical workshops and human factors simulation. Students were assessed using structured rubrics, including the Global Evaluative Assessment of Robotic Skills (GEARS) performed on the ImraSurgical Roboset Hydroskin™, a checklist for open access (Hasson technique) performed on the ImraSurgical Hydrogel Abdominal Wall Model™ and a structured assessment tool for non-technical skills evaluating communication, leadership and situational awareness. Pre- and post-course surveys evaluated learner perceptions and self-reported knowledge (Kirkpatrick Levels 1-2).

Setting: This study was conducted at the International Medical Robotics Academy (IMRA), a dedicated surgical simulation and robotics training centre in Melbourne, Australia, in collaboration with the University of Melbourne Medical School. The curriculum was delivered as an elective Discovery subject within the Doctor of Medicine programme. Thirty-five penultimate-year medical students enrolled in the subject during the 2024 academic year.

Results: At baseline, all respondents reported limited or no prior knowledge of robotic surgery and felt unprepared to care for patients undergoing robotic procedures. The programme was delivered with high fidelity. Mean GEARS score was 21.9 (SD 3.4). Mean non-technical skills score was 3.83/5 (SD 0.7) and mean open access score was 3.85/5. Group presentations achieved a pooled mean of 4.83/5. Post-course, all respondents reported increased knowledge and 80% felt better prepared for future clinical roles. Hands-on simulation was rated the most valuable component.

Conclusions: A structured, competency-aligned robotic surgery curriculum for medical students is feasible and associated with positive educational outcomes. Early integration of robotic literacy, simulation and human factors training may better prepare future clinicians for technology-enabled surgical practice. Further study should examine long-term impact and clinical transfer.

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来源期刊
ANZ Journal of Surgery
ANZ Journal of Surgery 医学-外科
CiteScore
2.50
自引率
11.80%
发文量
720
审稿时长
2 months
期刊介绍: ANZ Journal of Surgery is published by Wiley on behalf of the Royal Australasian College of Surgeons to provide a medium for the publication of peer-reviewed original contributions related to clinical practice and/or research in all fields of surgery and related disciplines. It also provides a programme of continuing education for surgeons. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.
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