扩大对基于视频的腹腔镜技能评估的访问:易用性,可靠性和准确性
Sarah Lund1, Sergio Navarro1, Jonathan D D'Angelo2
1Mayo Clinic Department of Surgery, 200 1st Street SW, Rochester, Minnesota 55905.
Journal of surgical education
|April 25, 2024
概括
未经培训的外科医生可以使用视频可靠地评估腹腔镜基本技能,提高反可访问性. 麦吉尔大学用于培训和评估腹腔镜技能的无生物系统 (MISTELS) 的准确性高于OSATS.
科学领域:
- 外科教育的外科教育
- 医疗模拟 医疗模拟
- 腹腔镜外科手术 腹腔镜外科手术
背景情况:
- 基于视频的评估为外科住院医生提供了重要的反.
- 经过培训的检查员的评估是昂贵的,资源密集的.
- 开发具有成本效益的评估方法对于外科培训至关重要.
研究的目的:
- 通过视频评估评估未经培训的临床外科医生的可靠性,准确性和难度,以评估基本腹腔镜技能.
- 为了比较两个评估工具的可靠性和准确性:OSATS和MISTELS.
主要方法:
- 一项全国性的调查分发给61名执业的整体外科主持人.
- 参与者使用OSATS和MISTELS评价了2个腹腔镜转移视频.
- 评级人员的经验,优势度和感知到的评估容易度都被记录下来.
主要成果:
- 通过OSATS (k=0.75) 和MISTELS (k=0.85) 实现了相当大的评级间可靠性.
- 与OSATS (κ=0.02) 相比,MISTELS的准确性明显更高 (κ=0.18).
- 尽管之前的经验有限,但评级人员发现视频评估很容易和有利.
结论:
- 未经培训的教师可以使用基于视频的方法可靠和准确地评估腹腔镜的基本技能.
- 对于这种类型的评估,MISTELS是一个比OSATS更准确的工具.
- 基于视频的评估提供了一个可扩展的解决方案,以增强外科实习生的反.
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