审查英国的最低准入外科手术提供和培训
Matthew W E Boal1,2,3, Jessica J Tan4, Shameena Sangarapillai4
1Association of Laparoscopic Surgeons of Great Britain and Ireland (ALSGBI) Academy, London, UK. matthew.boal@nhs.net.
Journal of robotic surgery
|May 31, 2024
概括
机器人辅助手术 (RAS) 在英国正在快速发展,但培训机会不一致. 大多数英国信托机构缺乏正式的机器人手术课程,强调需要标准化的培训和模拟来确保患者安全.
科学领域:
- 外科培训和技术采用.
- 医疗保健系统和手术结果.
- 医学教育和能力评估评估.
背景情况:
- 在英国,机器人辅助手术 (RAS) 的快速扩张给外科培训和能力带来了挑战.
- 医疗保健压力加剧了RAS增长对培训成果和学习曲线的影响.
- 需要了解当前提供和可访问的最小准入手术 (MAS) 设施和培训.
研究的目的:
- 评估英国医疗信托机构对机器人辅助手术 (RAS) 提供现状.
- 调查获得最少准入手术 (MAS) 设施和培训的差异.
- 确定机器人手术的正式培训课程和模拟资源中的差距.
主要方法:
- 一个双臂电子调查分发给英国信托和医院.
- 臂1调查了关于机器人实践和未来培训计划的临床领导.
- 臂2收集了来自MAS培训和设施的学员和教练的看法.
主要成果:
- 64%的受访信托使用机器人系统,68%的信托计划在3年内扩展.
- 超过50%的顾问和实习生报告说,机器人手术没有正式的本地培训课程.
- 只有不到30%的受访者确认获得了机器人训练类别 (仿真,训练日,作战列表) 的组合.
结论:
- 在英国信托机构的正式机器人手术培训课程和模拟访问中存在重大差距.
- 公平地获得MAS模拟和定期的临床培训至关重要.
- 需要标准化的培训来管理机器人手术的扩张,防止技能差距,确保患者的安全.
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