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机器人手术培训中的居民操作自主性:解开性别差异和培训趋势
Maisa Nimer1, Andres A Abreu1, Lauren A Tyler1
1Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX.
Journal of surgical education
|October 25, 2024
概括
男性的外科医生比女性报告了更高的机器人操作自主性和控制台时间. 最近的队列和奖学金对齐显示了改进的培训,需要精细的方法来公平的机器人手术教育.
科学领域:
- 外科教育的外科教育
- 机器人手术培训 机器人手术培训
- 评估运营自主性的评估
背景情况:
- 机器人手术越来越多地被整合到外科训练中.
- 了解影响居民操作自主性的因素对于有效的技能发展至关重要.
- 居民报告的指标为培训经验提供了洞察力.
研究的目的:
- 评估与自我报告的机器人操作自主性相关的居民和程序级因素.
- 在机器人程序中识别高居民自主性 (HRA) 的预测因素.
- 根据居民和病例特征分析控制台时间和自主性的差异.
主要方法:
- 一般外科住院医生机器人病例日志的回顾性队列研究 (2021-2023年).
- 分析包括胰腺双管切除术,修复和前部下部切除.
- 结果:控制台时间和高居民自主性 (>50%的病例参与);变量:队列,奖学金,性别,少数群体地位,医院类型.
主要成果:
- 男性居民报告了更高的HRA (76%对54%) 和更长的控制台时间 (150对120分钟).
- 女性性别与HRA的几率降低了74%,控制台时间减少了18分钟.
- 2023年队列显示更高的HRA赔率;对齐的奖学金增加了控制台时间.
结论:
- 在机器人操作自主性和控制台时间方面存在显著的性别差异.
- 最近的培训队伍表现出更好的结果,奖学金对齐提高了经验.
- 完善机器人手术培训对于确保公平性和优化有效性至关重要.
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