外科研修生によるポータブル胸腔食道縮シミュレータの使用の利点と障壁
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
まとめ
外科研修生は,食道アトレシアと気管食道フィストゥラ (EA/TEF) の修復のためのポータブル胸腔シミュレータが価値があると認めました. 初期の障壁は減少したが,実際のシミュレータの使用は低いままであり,シミュレーションベースの教育への関与を高めるためのさらなる戦略の必要性を示した.
科学分野:
- 医学教育
- 手術 シミュレーション
- 小児外科
背景:
- シミュレーションベースの教育 (SBE) は,複雑な外科訓練のための制御された環境を提供します.
- 効果的なSBEには,研修生への関与の障壁を特定し,克服する必要があります.
- 食道動と気管食道動 (EA/TEF) の胸腔鏡修復は,シミュレーションに適した複雑な新生児処置である.
研究 の 目的:
- 手術研修生がポータブルEA/TEFシミュレータに対して持つ態度を調査する.
- 訓練生の認識の変化を評価し,シミュレーターで学習の利益と障壁を特定する.
主な方法:
- ニュージーランドで20人の外科研修生が シミュレーション前と後の調査を完了しました
- 胸腔鏡シミュレータに関する態度と認識を調査した.
- 内容マニフェスト分析により,研修生が認識する障壁と利益が特定されました.
主要な成果:
- 訓練生は"専門知識と自信の増大"と"練習の時間"を主な利点として挙げて,ポジティブな態度を示しました.
- 実際のシミュレータ使用量は予想より低かった (週1時間未満).
- "設備へのアクセス"や "時間と動機"などの初期障壁は シミュレーション後に大幅に減少しました
結論:
- 携帯型胸腔鏡EA/TEFシミュレータは,新生児外科における技術的なスキルの習得に役立つツールです.
- シミュレータの使用は,シミュレーションベースの教育への障壁を大幅に軽減しました.
- シミュレータの実際の受験者の利用率を高めるには,さらなる戦略が必要である.
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