后段眼科诊断内镜的学习曲线:对芽爱好者和培训中的研究员的影响
Vivek Pravin Dave1, Ramya Natarajan2, Rajeev Reddy Pappuru1
1Anant Bajaj Retina Institute, Kallam Anji Reddy Campus, LV Prasad Eye Institute, Hyderabad, India.
Seminars in ophthalmology
|July 11, 2024
概括
一个自我训练的玻璃网膜外科医生需要大约20个病例,而受监督的外科医生需要10个病例,以掌握后部部位诊断内镜 (DE). 这一发现有助于开发有效的DE培训模块.
科学领域:
- 眼科医生 眼科 眼科
- 进行外科手术培训.
- 医疗技术 医疗技术 医学技术
背景情况:
- 诊断内镜 (DE) 对于眼科的后部部位评估至关重要.
- 了解DE的学习曲线对于优化外科培训和患者护理至关重要.
研究的目的:
- 确定后段诊断内镜 (DE) 的学习曲线.
- 为了比较一个自我训练 (ST) 和一个监督 (SUP) 玻璃甲状腺外科医生的学习曲线.
主要方法:
- 由ST和SUP外科医生在2017年至2023年间进行的106项DE手术的回顾性审查.
- 分析了程序时间,并对案例序列号进行绘图,以评估学习曲线的进展.
- 用回归分析来比较两位外科医生学习曲线的斜率.
主要成果:
- 对于这两位外科医生来说,DE的时间随着经验的增加而减少.
- 在第20个病例左右,ST外科医生的表现稳定了下来 (相关系数= -0.5,p=0.01).
- 这位SUP外科医生的表现在第10个病例左右稳定 (相关系数 = -0.9,p<0.0001).
- 在这两组中都没有报告任何不良事件.
结论:
- 一个自学外科医生需要大约20个病例才能达到DE的熟练程度.
- 大约有10个病例足以让一个受监督的外科医生掌握DE.
- 这些发现可以为诊断内镜的结构化培训计划的开发提供信息.
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