先进内镜培训对结肠镜检查质量和效率的影响
Takashi Watanabe1,2, Tatsuro Murano1, Hiroaki Ikematsu1
1Department of Gastroenterology and Endoscopy National Cancer Center Hospital East Chiba Japan.
DEN open
|October 14, 2024
概括
持续的先进内镜培训提高了研究员的结肠镜检查质量和效率. 接受500次以下初始结肠镜检查的实习生在插入时间和多眼镜检查效率方面表现出最显著的收益.
科学领域:
- 胃肠病学 胃肠病学
- 医学教育 医学教育
- 内镜手术 进行内镜手术
背景情况:
- 关于培训后持续培训以改善结肠镜检查质量的数据有限.
- 在高级培训期间评估结肠镜检查绩效指标对于提高技能至关重要.
研究的目的:
- 评估在先进内镜程序的实习生中结肠镜质量和效率指标的变化.
- 为了确定在结肠镜后的结肠镜表现改善的具体领域.
主要方法:
- 在3年间 (11名实习生) 的查/监视结肠镜的回顾性分析 (2015年4月至2020年3月).
- 质量指标的年度评估,包括插入时间,腺瘤检测率和多角切除术效率.
- 结果的分层基于先前的结肠镜经验 (<500个手术).
主要成果:
- 平均插入时间每年显著下降 (p<0.01从1年到3年).
- 在培训期间,多眼切除术的效率显著提高 (p<0.01从1年到3年).
- 接受过 < 500 次前列腺镜检查的实习生在插入时间和多斑切除术效率方面表现出显著的改善.
结论:
- 一个先进的内镜培训计划提高了结肠镜检查的质量和效率,为研究生后的实习生.
- 持续培训对于初始经验较少的内镜医生 (<500次结肠镜检查) 尤其有益.
- 这些发现支持结构化,持续的培训,以优化结肠镜检查结果.
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