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国家需要对基于模拟的血管外科培训进行评估
Seán C Maguire1, Adrian P O'Callaghan1, Oscar Traynor1
1Department of Surgical Affairs, Royal College of Surgeons in Ireland (RCSI), Stephen's Green, Dublin 2, Ireland.
Journal of surgical education
|June 4, 2023
概括
血管模拟培训应优先考虑核心原则和常见的主要程序,如AAA修复和EVAR. 具有高并发症潜力的少侵入性手术也需要注意,而下肢截肢不太适合模拟.
科学领域:
- 血管外科培训和模拟开发.
背景情况:
- 血管模拟对于外科训练至关重要.
- 确定高需要的领域可以确保培训的影响.
研究的目的:
- 确定和优先考虑最需要血管模拟培训的领域.
- 为制定有效的血管模拟课程提供信息.
主要方法:
- 与33名咨询血管外科医生/培训师进行了德尔菲方法需求评估.
- 使用哥本哈根需求评估公式 (CAMES-NAF) 进行了三轮程序优先级评分.
主要成果:
- 优先考虑的血管手术有34项,其中动脉修复和动脉末切除术/补丁手术排名最高.
- 复杂的手术,如开放的AAA修复,动脉内关节切除术和EVAR,排名高于较罕见或基本的手术.
- 对于特定的程序出现了分歧,表明了细微的培训需求.
结论:
- 血管模拟培训应侧重于核心原则和共同的主要程序.
- 模拟设计应优先考虑常用程序和并发症管理.
- 下肢截肢不太适合当前的模拟器模型,临床实践或尸体模型更合适.
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