在结肠镜检查中开发和验证基于模拟的评估工具.
Claudia Jaensch1, Rune D Jensen2,3, Charlotte Paltved3
1Surgical Research Department, Regional Hospital Gødstrup, Herning, Denmark. claujaen@rm.dk.
为结肠镜培训开发了一个新的虚拟现实评估工具. 这种工具有效地区分技能水平,并确保临床实践前的患者安全.
科学领域:
- 医学教育 医学教育
- 胃肠病学 胃肠病学
- 模拟技术的模拟技术
背景情况:
- 结肠镜技巧是很难获得的.
- 虚拟现实 (VR) 模拟有助于培训,但向基于患者的学习的进展需要明确的评估.
- 目前还没有一个标准化工具可以为初学者内镜师提供认证证书.
研究的目的:
- 开发一种基于VR的结肠镜评估工具.
- 确保该工具区分技能水平 (初学者,中级,专家).
- 将基本的患者安全检查清单项目纳入.
主要方法:
- 验证遵循了教育和心理测试标准.
- 专家小组确定了三个关键的患者安全项目 (穿孔,肠壁张力,管输液).
- 对Simbionix GI Mentor II模拟器的指标进行了分辨能力分析,并结合成一个总分.
主要成果:
- 确定了具有歧视能力的四个指标.
- 新手和其他群体之间的总分数有显著差异 (p<0.01).
- 该工具表现出良好的可靠性 (Cronbach的alpha=0.86),具有定义的通过/失败标准.
结论:
- 建立了一个有效和可靠的VR评估工具,具有通过/失败标准.
- 该工具可以在基于模拟的培训后评估能力.
- 建议在开始基于患者的学习之前进行.
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