在多机构居民教育课程中实施内镜鼻手术的优化手术前检查清单
Stephen Leong1,2, Thomas Scharfenberger3, Nathan Yang4
1Vagelos College of Physicians & Surgeons, Columbia University Irving Medical Center, New York, New York.
一个优化的检查清单显著提高了住户在内镜鼻手术 (ESS) 之前识别关键鼻CT结构的能力. 这项教育干预提高了学员的外科解剖学能力.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 术前计算机断层扫描 (CT) 成像对于规划内镜外科手术 (ESS) 至关重要.
- 实习生可以从一个结构化的方法来审查鼻腔CT扫描中受益.
- 以前使用修改后的Delphi方法开发了一份针对鼻腔CT成像的优化术前检查清单.
研究的目的:
- 评估优化手术前检查清单的有效性,用于执行ESS的耳鼻喉科住院医生.
- 评估课程干预对住院人员使用系统性手术前CT成像检查清单的课程干预的影响.
主要方法:
- 五个纽约地铁地区的耳鼻喉科住院医生参加了培训计划.
- 干预包括一个干预前问卷和一个鼻腔CT解剖测试,一个18分钟的教育视频在检查清单,和一个延迟后干预问卷与一个不同的测试.
- 数据是使用Qualtrics收集的.
主要成果:
- 74名居民填写了预干预调查问卷,47人填写了后干预调查问卷,36人填写了两者.
- 平均测试成绩显著改善,从干预前的136.8 ± 24.0提高到干预后的156.0 ± 23.5 (P < .001).
- 系统性手术前CT成像检查清单的习惯性使用率从21.6%增加到干预后的72.9%.
结论:
- 使用ESS优化的手术前检查清单的教育计划可以提高学员识别关键鼻腔CT结构的能力.
- 整合检查清单和教育课程可以改善鼻科教育.
- 这种方法可能会提高学员的外科解剖学能力.
更多相关视频
09:07Author Spotlight: Advancing Endoscopic Ossiculoplasty – Techniques, Innovations, and Practical Guidance for Clinical Integration
Published on: January 26, 2024
07:54Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
Published on: December 6, 2016
相关概念视频
Endoscopic Procedures V: ERCP
Patient...
Endoscopic Procedures I: Esophagogastroduodenoscopy
During an EGD, the endoscope can be used to:
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Endoscopic Procedures II: Colonoscopy
Endoscopic Studies II: Thoracocentesis
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
