基于多眼镜模拟的掌握学习对实践内镜师技能保留的影响
概括
基于模拟的掌握学习 (SBML) 有效地培养和保持在实践内镜师的多视镜技巧. 这种标准化的课程在培训后立即提高了技能,并保持了长达12个月的技能.
科学领域:
- 医学教育 医学教育
- 胃肠病学 胃肠病学
- 手术模拟器手术模拟器
背景情况:
- 对医生进行多角切割手术缺乏标准化的培训方法.
- 执业的内镜医生经常教授和执行查结肠镜和多眼切除术.
- 现有的临床经验并不能保证对多角切除术技能的熟练掌握.
研究的目的:
- 开发和评估一个基于模拟的掌握学习 (SBML) 课程,用于多角切除术.
- 评估SBML培训后的立即技能改进.
- 为了确定在培训后的6个月和12个月保持多面术技能.
主要方法:
- 采用了前测试后测试队列研究设计.
- 参与者接受了SBML培训,包括刻意练习和技能评估.
- 内镜患者被随机分配到6个月或12个月的随访评估中.
主要成果:
- 100%的参与者在培训后获得了熟练程度,与培训前的16.7%相比有显著的改善 (P < .001).
- 最低通过标准是93%的熟练程度.
- 90%的参与者在6个月和12个月的随访中保持了技能.
结论:
- 基于模拟的掌握学习 (SBML) 是一种有效的策略,可以获得和保持多面体术技能.
- 在SBML课程中,实践内镜师的技能显著提高和长期保留.
- 这种方法提供了一种标准化的方法,用于评估和提高医生在多角切除术方面的能力.
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