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使用低成本的任务培训师为急诊室胸切除术培训在整体外科住院计划的使用
Asit Misra1, Alexander Chapman2, William D Watson1
1OhioHealth Learning, Department of Medical Education, Riverside Methodist Hospital, Columbus, Ohio.
Journal of surgical education
|November 5, 2023
概括
与传统的基于讨论的教学相比,急诊室胸切除术 (EDT) 的低成本培训师显著提高了外科住院医生的程序技能和信心. 这种基于模拟的培训为罕见的,拯救生命的程序提供了有价值的实践.
科学领域:
- 医学教育 医学教育
- 手术模拟器手术模拟器
- 创伤外科 手术 创伤外科
背景情况:
- 急诊室胸切除术 (EDT) 是一个关键的,虽然不常见的,需要专门技能的程序.
- 传统的教学方法可能不足以为居民准备应急情景.
- 对于低频率,高风险的程序,需要有效,易于使用的培训工具.
研究的目的:
- 为了比较低成本的EDT培训师与外科住院医生的基于讨论的教学之间的有效性.
- 为了评估低成本EDT教练的面部有效性和现实性.
主要方法:
- 这是一项前性,双期随机对照性研究,涉及9名高级外科住院医生.
- 第一组接受了基于讨论的培训;第二组使用了低成本的EDT模拟器.
- 通过视频审查评估绩效,使用检查清单,知识保留测试和反应调查.
主要成果:
- 基于模拟的培训 (第二组) 与基于讨论的培训 (第一组) 相比,导致程序技能得分明显更高.
- 模拟组证明了更快的决策开始时间.
- 虽然基于讨论的培训提高了知识分数,但模拟培训保持了高度的信心和现实主义评级.
结论:
- 低成本的EDT模拟有效地提高了外科住院医生的手术技巧和对模拟环境的信心.
- 基于模拟的培训为掌握罕见的程序提供了必要的有意识的实践机会.
- 进一步使用低成本模拟器可以提高居民在紧急干预中的表现.
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