学习小肠囊内镜需要20多种手术:学习曲线试点研究535名实习生病例
Anders Bo Nielsen1,2,3,4, Michael Dam Jensen5,6, Jacob Broder Brodersen5,6
1Research Unit of Medical Education, Department of Clinical Research, University of Southern Denmark, Odense, Denmark.
Endoscopy international open
|May 30, 2024
概括
胃肠科医生需要超过20个病例才能获得独立审查小肠囊内镜 (SBCE) 的能力. 学习曲线显示进展,但不是平原,表明SBCE技能获取具有挑战性.
科学领域:
- 胃肠病学 胃肠病学
- 医学教育 医学教育
背景情况:
- 无辅助小肠囊内镜 (SBCE) 评估所需的程序数量尚未确定.
- 建立学习曲线和诊断准确性对于SBCE培训至关重要.
研究的目的:
- 为了确定SBCE审查的学习曲线.
- 评估诊断准确性,并确定无助SBCE评估所需的程序数量.
- 确定SBCE解释所需的能力.
主要方法:
- 为22位胃肠科医生提供了一天的课程,包括课程和实践培训.
- 参与者审查了50个随机SBCE病例,使用交互式问卷和反.
- 使用CUSUM图形分析学习曲线,与专家意见相比,敏感性/特异性.
主要成果:
- CUSUM图表显示了诊断和发现的学习进展,但没有达到学习高原.
- 对于所有发现的敏感度在前20个程序中为65%,随后为67%.
- 在前20个程序中,特异性为63%,在后续案件中为57%.
结论:
- 学习SBCE可能比预期的更具挑战性,在20例病例后的区分能力有限,除了克罗恩病 (CD) 识别外.
- 该研究表明,20个SBCE案例不足以实现无助审查能力.
- 进一步培训和更多的案例可能是必要的,以确保熟练的SBCE解释.
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