机器人辅助手术是一门引人入胜的选修课?]

Der Urologe. Ausg. A Pub Date : 2022-04-01 Epub Date: 2022-01-17 DOI:10.1007/s00120-021-01756-6
Philip Zeuschner, Philippe Becker, Julia Heinzelbecker, Johannes Linxweiler, Stefan Siemer, Michael Stöckle, Matthias Saar
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引用次数: 1

摘要

背景:尽管机器人辅助手术已经发展成为外科手术的标准程序,但它们在当前医科学生的课程中代表性不足。目的:我们介绍了我们在德国泌尿科为本科医科学生进行的第一次选修“机器人辅助手术”的经验和发现。材料和方法:10名大四本科生在6节课内学习机器人辅助手术的理论基础和实践技能,每节课2 h,包括现场观察机器人辅助手术的机会。在机器人模拟设备上,知识(十个选择题)和技能(练习Camera 0, Clutch和Sea Spikes 1)的增加被量化,包括对学生视角的评估。结果:10名参与者的知识显著增加,在最终评估中给出了3.5个额外的正确答案(p = 0.011)。在三个实践练习中,有两个的总得分显著提高(Camera 0和Sea Spikes 1,均为p )。结论:许多医科本科生对机器人辅助手术有很大的兴趣。提供选修课似乎是教授机器人(泌尿外科)手术的理论背景和实践技能的绝佳形式。此外,这样的选修课可以提高对泌尿外科领域的关注,并可能吸引未来的同事。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Robot-assisted surgery as an elective-fascinating lesson(s)?]

Background: Even though robot-assisted operations have evolved to a standard procedure in surgery, they are underrepresented in the curriculum of current medical students.

Objectives: We present our experience and findings in Germany's first elective "Robot-assisted surgery" at a urological department for undergraduate medical students.

Materials and methods: Ten undergraduates in their final years were taught the theoretical basics and practical skills in robot-assisted surgery within six lessons each lasting 2 h, including the opportunity to observe a live robot-assisted surgery. The increase of knowledge (ten multiple-choice questions) and skills (exercises Camera 0, Clutch, and Sea Spikes 1) on a robotic simulation device were quantified including an evaluation of the student's perspective.

Results: The 10 participants had a significant increase in knowledge and gave at a median of 3.5 additional correct answers in the final assessment (p = 0.011). For two out of three practical exercises, the overall score significantly increased (Camera 0 and Sea Spikes 1, for both p < 0.05), but for the exercise "Clutch", only economy of motion significantly improved (p = 0.028). The elective was evaluated (very) good and the willingness of the participants to become urologists significantly increased (p = 0.007).

Conclusion: There is a great interest of many undergraduate medical students in robot-assisted surgery. Offering an elective appears to be an excellent format to teach the theoretical background and practical skills in robotic (urologic) surgery. Moreover, such an elective could raise more attention to the field of urology and might attract future colleagues.

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