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基于视频的自我反思对手术内技能的影响:试点随机对照试验
Saba Balvardi1, Pepa Kaneva2, Koorosh Semsar-Kazerooni2
1Department of Surgery, McGill University, Montreal, Quebec, Canada; Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Centre, Montreal, Quebec, Canada.
Surgery
|December 28, 2023
概括
这项试点研究探讨了手术学员学习腹腔镜胆囊切除术的基于视频的自我评估. 虽然可行性目标尚未完全实现,但研究结果为改善外科手术技能的未来试验提供了信息.
科学领域:
- 外科教育的外科教育
- 医疗模拟 医疗模拟
- 健康 专业 教育 卫生 专业 教育
背景情况:
- 基于视频的自我评估 (VBSA) 在提高外科技能的有效性仍然不清楚.
- 腹腔镜胆囊切除术是外科训练中常见的一种手术.
研究的目的:
- 评估 laparoscopic 胆囊切除术的 VBSA 随机对照试验 (RCT) 的可行性和估计样本大小.
- 评估VBSA对实习生手术表现的影响.
主要方法:
- 一个试点并行随机对照试验 (RCT),将传统教学与VBSA进行比较.
- 一般外科培训生进行了腹腔镜胆囊切除术,由盲目外科医生使用标准化工具进行评估.
- 干预小组通过网络平台使用视频记录进行自我评估.
主要成果:
- 32名受训者被随机分配 (86%的参与率);24人提交了3个案例 (75%).
- 13名实习生 (81%) 访问了平台,完成了26次 (63.2%) 的自我评估.
- 估计样本大小:55名学员/臂 (GOALS) 或130名学员/臂 (OPRS) 进行全规模的RCT.
结论:
- 试点数据为未来VBSA的RCT的设计提供了信息,用于腹腔镜胆囊切除训练.
- 可行性标准没有完全满足,但自动视频捕捉可以提高遵守.
- VBSA显示了提高实习生手术技能的潜力.
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