结肠镜检查和循环电术切除程序:一个模拟的练习
Cynthia Abraham1, Renita Kim1, Ceyda Oner1
1Attending Physician, Department of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai and Mount Sinai Health System.
MedEdPORTAL : the journal of teaching and learning resources
|September 11, 2023
概括
模拟训练显著提高了住院人员在进行结肠镜检查和循环电外科切除手术 (LEEP) 的舒适度和信心. 这种增强的技能对管理宫内皮质瘤和预防宫癌至关重要.
科学领域:
- 妇科 妇科 妇科 妇科
- 医学教育 医学教育
- 手术模拟器手术模拟器
背景情况:
- 宫内皮质瘤3 (CIN3) 具有进展为宫癌的高风险.
- 有效的CIN3管理依赖于准确的诊断和及时的切除治疗.
- 循环电外科切除手术 (LEEP) 是CIN3.3的关键治疗方法.
研究的目的:
- 评估基于模拟的模块在科尔波斯科普和LEEP的住院培训的有效性.
- 提高住院人员在执行这些关键妇科手术方面的熟练程度和信心.
主要方法:
- 产科和妇科住院医生参与了一个模拟模块,使用骨盆任务教练.
- 使用标准设备练习程序,每次会话持续30分钟.
- 居民的舒适度和信心被评估,使用模块前和后的利克特比例问卷.
主要成果:
- 镜和LEEP步骤的平均舒适度在模块后显著增加 (3.1至4.3,p < .001).
- 住院居民对独立进行结肠镜检查 (2.2到3.5,p < .01) 和LEEP (2.9到3.6,p = .06) 的同意度增加.
结论:
- 基于模拟的培训有效地提高了住院居民的舒适性和对进行结肠镜检查和LEEP的感知能力.
- 提高这些程序的熟练程度对于全面的妇科护理和宫癌预防至关重要.
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