高保真模拟器训练的最佳持续时间用于支气管导入管道:一个非劣势性随机试验
Luyang Jiang1, Qingmei Yang, Qingyue Li
1From the Department of Anesthesiology (L.J., Q.L., B.J., Y.F.), Peking University People's Hospital, Beijing, China; and Department of Anesthesiology (Q.Y., B.J., C.L.), Tibet Autonomous Region People's Hospital, Lhasa, Tibet, China.
概括
一种新的基于学习曲线的模拟器训练,用于灵活的光学支气管 (FOB) 输内管,被发现与固定时间训练无差. 这种方法可以优化FOB输管技能的培训时间.
科学领域:
- 医学教育 医学教育
- 麻醉学 麻醉学
- 呼吸系统医学 呼吸系统医学
背景情况:
- 灵活的光学支气管管道 (FOB) 的最佳模拟器训练时间仍未确定.
- 这项研究评估了基于学习曲线的培训模式与临床FOB输管固定时间方法相比.
- 评估培训效率对于培养熟练的医疗专业人员至关重要.
研究的目的:
- 为了确定基于学习曲线的模拟器训练是否与FOB输管固定训练时间不逊色.
- 为了比较两个不同的模拟器训练模式之间的临床FOB输管时间.
- 为支气管镜手术建立最佳的训练范式.
主要方法:
- 一个多中心的,随机的,非劣等性研究,涉及麻醉学住院生和实习生.
- 参与者被随机分配到基于学习曲线 (新) 或固定1小时 (参考) 的模拟器训练中.
- 主要结果:从FOB插入到头像图像可视化的时间,具有10秒的非劣势差距.
主要成果:
- 平均输管时间为81.9秒 (新) 和97.0秒 (参考),表明非劣质性 (CI的上限为9.3秒).
- 学习曲线组需要显著减少模拟器训练程序 (P < 0.01).
- 新组的平均训练时间为28.4分钟.
结论:
- 基于学习曲线的模拟器训练用于FOB输管是临床上不劣于固定时间训练.
- 这种个性化的方法可能会导致更有效地获得技能.
- 模拟器培训时间可以根据证明的能力来优化.
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