在儿科腹腔镜尾切除术中作为培训师的实习生
L Henderson1, N Patwardhan1, H Dagash1
1Leicester Royal Infirmary, UK.
Annals of the Royal College of Surgeons of England
|May 24, 2024
概括
实习生在腹腔镜尾切除病例中担任教练是安全有效的. 这项研究发现,与传统训练的结果相似,支持其在儿科手术中的应用.
科学领域:
- 外科教育的外科教育
- 儿科手术 儿科手术
- 腹腔镜手术 腹腔镜手术
背景情况:
- 在外科手术中,手术期间的教学至关重要.
- 关于作为教练的实习生存在有限的文献.
- 这项研究侧重于儿科腹腔镜尾切除术病例.
研究的目的:
- 描述手术学员作为教练的情况.
- 评估这种培训模型的安全性和结果.
主要方法:
- 对256次腹腔镜尾切除术 (2015-2017年) 的回顾性审查.
- 实习生分类:核心实习生 (CT),初级注册员 (JR),高级注册员 (SR).
- 对实习生作为培训师 (TT) 案例的分析,包括复杂性,时间和持续时间.
主要成果:
- 53个 (20.7%) 病例是作为培训员的学员 (TT).
- 在TT和非TT病例之间,并发症 (负尾切除,转换,再接收,重新手术) 没有统计学上显著的差异.
- TT病例主要发生在工作时间 (88.7%) 和周日 (94.3%).
结论:
- laparoscopic 尾切除术作为一个合适的模型,用于由实习生领导的外科培训.
- 仔细选择病例 (白天的简单病例) 是关键.
- 这种培训方法证明了与已发表的文献相美的患者安全性.
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