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在儿科泌尿器科培训中,腹腔镜模拟中,积极和消极的手术内反的影响
Nina Martz1, Amane-Allah Lachkar1, Jean Breaud2
1Department of Pediatric Surgery and Urology, National Reference Center for Rare Urinary Tract Malformations (CRMR MARVU), ERN eUROGEN Accredited Center, Robert-Debré University Hospital, APHP, GHU North, Health Simulation Department, iLumens, Université Paris Cité, Paris, France.
负面反显著减缓了儿科腹腔镜仿真实习生表现. 积极的,支持性的反对于有效的外科技能培训和改善儿科泌尿病学学习成果至关重要.
科学领域:
- 外科教育的外科教育
- 医疗模拟 医疗模拟
- 儿科泌尿外科 儿科泌尿外科
背景情况:
- 模拟练习对于培训儿科泌尿病学学员至关重要.
- 有效的反机制对于在微创手术中获得技能至关重要.
研究的目的:
- 调查正面反与负面反在儿科腹腔镜模拟期间对学员表现的差异影响.
- 在外科培训中为开发最佳反策略提供信息.
主要方法:
- 25名实习生在模拟器上执行了 laparoscopic手术 (FLS) 的基础任务 (转移,结结).
- 实习生从主治儿科泌尿科医生那里得到了积极或消极的反.
- 通过任务时间和错误来评估性能; 统计分析使用了曼-惠特尼U测试.
主要成果:
- 负反导致执行时间的显著增加 (中位数为34秒) 与正反 (中位数为2秒) 相比 (p=0.003).
- 用时间来衡量任务的表现,因负面评论而显著受损.
结论:
- 手术培训中的反应该是支持性的,以改进为重点,避免令人丧.
- 定制反策略可以优化学习并提高儿科微创手术培训的表现.
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