[外科医のための胃鏡と結腸鏡の学習曲線解析]
1Department of Gastrointestinal Surgery, Peking University People's Hospital, Beijing 100044, China.
まとめ
胃腸内視鏡手術の熟練度を達成するには,外科医が600件以上の胃鏡検査と470件以上の結腸鏡検査を完了する必要があります. この2つの手順をマスターするには 約31週間の独立手術が必要です
科学分野:
- 医療訓練と外科教育
- 消化器科と内視鏡で
背景:
- 胃腸内視鏡手術の訓練は 患者のケアに不可欠です
- 胃鏡検査と結腸鏡検査の学習曲線を定量化することは 訓練プログラムの最適化に不可欠です
研究 の 目的:
- 胃腸外科医の胃鏡検査と結腸鏡検査の学習曲線を決定する.
- これらの内視鏡検査の手続きの熟練度を達成するために必要な症例数と時間を決定する.
主な方法:
- 北京大学人民病院の胃腸外科医による臨床データの遡及分析 (2022年3月〜2024年3月).
- 試験数と学習時間に基づいて熟練度を定義するために,累積合計 (CUSUM) コントロールグラフを使用しました.
主要な成果:
- ガストロスコピーの熟練度までの平均時間は31週間で,平均624例が必要でした.
- 大腸内視鏡検査の熟練度までの平均時間はまた,平均470例で31週間でした.
- 前回のガストロスコピーの経験を持つ外科医は,コロノスコピーの熟練度のために少数の症例を必要としました.
結論:
- 外科医は,ガストロスコピーの熟練度のために,約31週間の独立練習と600以上のケースを必要とします.
- 大腸内視鏡検査の熟練には約31週間と少なくとも470例が必要で,以前の胃鏡検査の経験は症例数を減少させる可能性がある.
- これらの発見は,消化器内視鏡のための構造化訓練カリキュラムの開発にインパクトを与える.
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