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Beneficios y obstáculos al uso de un simulador de atresia esofágica torácica portátil según lo percibido por los
Jonathan M Wells1,2, Georges Tinawi3, Angharad Vernon-Roberts4
1Department of Paediatric Surgery, Christchurch Hospital, 2 Riccarton Avenue, Christchurch Central City, Christchurch, 4710, New Zealand. Jon.wells@cdhb.health.nz.
Pediatric surgery international
|September 1, 2025
Resumen
Los aprendices quirúrgicos encontraron valioso un simulador toracoscópico portátil para la reparación de la atresia esofágica y la fístula traqueoesofágica (EA/TEF). Si bien las barreras iniciales disminuyeron, el uso real de simuladores se mantuvo bajo, lo que indica la necesidad de nuevas estrategias para aumentar la participación en la educación basada en la simulación.
Área de la Ciencia:
- Educación médica
- Simulación quirúrgica
- Cirugía pediátrica
Sus antecedentes:
- La educación basada en la simulación (SBE) proporciona un entorno controlado para el entrenamiento quirúrgico complejo.
- El SBE eficaz requiere identificar y superar las barreras para la participación de los aprendices.
- La reparación toracoscópica de la atresia esofágica y la fístula traqueoesofágica (EA/TEF) es un procedimiento neonatal complejo adecuado para la simulación.
Objetivo del estudio:
- Investigar las actitudes de los aprendices quirúrgicos hacia un simulador portátil de EA/TEF.
- Evaluar los cambios en las percepciones de los aprendices e identificar los beneficios y los obstáculos al aprendizaje con el simulador.
Principales métodos:
- Veinte aprendices quirúrgicos en Nueva Zelanda completaron las encuestas previas y posteriores a la simulación.
- Las encuestas evaluaron las actitudes y percepciones con respecto al simulador toracoscópico.
- El análisis del manifiesto de contenidos identificó las barreras y los beneficios percibidos por el aprendiz.
Principales resultados:
- Los aprendices informaron de actitudes positivas, citando "mayor experiencia y confianza" y "tiempo para la práctica" como beneficios clave.
- El uso real del simulador fue inferior al previsto (menos de una hora por semana).
- Las barreras iniciales como "acceso al equipo" y "tiempo y motivación" disminuyeron significativamente después de la simulación.
Conclusiones:
- El simulador toracoscópico portátil EA/TEF es una herramienta valiosa para la adquisición de habilidades técnicas en cirugía neonatal.
- El uso del simulador redujo significativamente las barreras percibidas para la educación basada en la simulación.
- Se necesitan estrategias adicionales para aumentar la utilización real del simulador por parte de los aprendices.
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