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在冷陷多眼术中培训人员的多样化能力:完整的随机对照试验的结果
Tonya Kaltenbach1,2, Swati G Patel3,4, Tiffany Nguyen-Vu1,2
1Department of Medicine, University of California, San Francisco, San Francisco, California, USA.
The American journal of gastroenterology
|June 12, 2023
概括
视频反培训冷陷多角切除术 (CSP) 提高了实习生的能力,但学习曲线仍然很长. 当前的培训方法可能不足以在获得奖学金后达到熟练程度.
科学领域:
- 胃肠病学 胃肠病学
- 医学教育 医学教育
- 进行外科手术培训.
背景情况:
- 冷陷多角切除术 (CSP) 是建议的小息肉切除技术.
- 在CSP技术和质量方面存在显著的变化.
- 学习曲线和有针对性的培训对CSP能力的影响尚不清楚.
研究的目的:
- 为了比较基于视频的反对实习生在CSP方面的能力的传统反的有效性.
- 为了确定基于视频的反是否加快了CSP的学习曲线.
主要方法:
- 进行了一次单盲,随机对照试验.
- 22名学员被随机分配到基于视频的反或传统的反小组.
- 用CSP评估工具评估能力,并提供累积总和学习曲线.
主要成果:
- 与对照组相比,视频反组显示,与对照组相比,获得能力的学员比例更高 (16.7%vs0%).
- 在视频反小组中的能力每20个CSP程序增加3%.
- 为了达到能力的学习曲线被发现是很长的,即使有视频反.
结论:
- 基于视频的反可以帮助学员在CSP方面获得能力.
- 目前的培训方法似乎不足以让学员在奖学金结束时达到能力.
- 进一步研究新的培训方法,如基于模拟的掌握学习,是有必要的.
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