在胃肠内镜中进行远程培训和远程检测,用于乌干达农村的实践外科医生
Julia Torabi1, Marnie Abeshouse2, Angellica Giibwa3
1Department of Surgery, The Mount Sinai Hospital, 1 Gustav Levy Pl, New York, NY, 10019, USA. Julia.Torabi@mountsinai.org.
Surgical endoscopy
|August 14, 2023
概括
一个远程内镜培训计划成功为乌干达外科医生提供了执行诊断和治疗程序的设备. 这种创新方法扩大了在服务不足的农村地区获得重要的内镜服务的机会.
科学领域:
- 医学培训 医学培训 医学培训
- 手术方面的创新.
- 全球卫生健康 全球卫生健康
背景情况:
- 乌干达农村地区对内镜服务的大量未满足需求.
- 有限的诊断和治疗干预导致疾病呈现晚期.
- 在服务不足的地区需要适应性手术技术.
研究的目的:
- 介绍一个远程监控的内镜培训计划.
- 在缺乏内镜能力的领域培训外科医生.
- 扩大对内镜服务的获取.
主要方法:
- 追溯案例系列 (2020年2月至2022年12月).
- 一名外科医生通过为期1周的面对面训练营接受了培训.
- 对于初始内镜病例的远程监控.
主要成果:
- 外科医生远程监督了139个病例.
- 独立进行了167次诊断性结肠镜和425次上部内镜.
- 在没有并发症的情况下完成了43项治疗程序 (支架安置,带,异物检索).
结论:
- 远程监控的内镜程序成功培训了一个在缺乏服务的地区的外科医生.
- 这种方法扩大了缺乏服务的地区对内镜的访问.
- 对于培训机会有限的地区有价值.
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