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远程混合现实与超声波导向皮肤性髓切除术与泌尿外科住院医生的面对面培训的比较

Lauren Shepard¹, Carolyn Im¹, Oscar Li¹

¹Johns Hopkins Brady Institute of Urologic Surgery, Baltimore, MD.

|February 1, 2025

概括

混合现实 (MR) 远程培训与泌尿外科住院医生学习皮肤穿透性瘤切除术 (PCNL) 的面对面指导一样有效. 尽管存在技术上的挑战,但MR为外科教育提供了可行的替代方案.

科学领域:

外科教育的外科教育
医疗模拟医疗模拟
泌尿器科泌尿器科泌尿器科泌尿器科

背景情况:

传统的皮肤穿神经切除术 (PCNL) 面对面培训是资源密集的.
探索远程学习模式对于扩大外科手术教育获取至关重要.
混合现实 (MR) 提供沉浸式,交互式远程培训的可能性.

研究的目的:

为了比较远程混合现实 (MR) 训练与传统面对面 (IP) 训练的效果,用于图像引导的皮肤穿神经切除术 (PCNL).
用MR和水凝模拟模型评估泌尿外科住院医生的外科教育吸收和技能获取.

主要方法:

12名泌尿器科住院医生被随机分配到MR-first或IP-first组.
培训涉及一个经过验证的水凝模型,用于上下两极接入和气球膨胀.
通过测试前,测试中期,测试后和保留测试来评估性能.
在MR训练中,使用智能眼镜和远程指导软件来实现第一人称视角.

主要成果:

在MR和IP组中,从训练前到训练后,在上杆和下杆接入方面都观察到程序尝试得分的显著改善.
学习者的偏好倾向于面对面的指导,据报道,MR系统存在技术上的困难.
尽管有偏好,但MR培训的有效性与面对面培训相美.

结论:

基于混合现实 (MR) 的远程学习是一种有效的替代体面指导,用于皮肤透神经切除术 (PCNL) 培训.
进一步完善MR技术可以解决学习者报告的挑战,并加强在外科教育中的采用.

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