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通过模块化模拟课程与实时绩效评估进行下腹腔大动脉动脉瘤开放修复的基本技能认证

Rebecca A C Skov¹, Jonathan Lawaetz¹, Cecilie M Møller²

¹Department of Vascular Surgery, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.

European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery

|June 8, 2025

概括

基于模拟的教育 (SBE) 有效地训练新手在腹腔大动脉瘤 (AAA) 的开放外科修复 (OSR). 在ENHANCE-OPEN计划中,大多数参与者都取得了基本的OSR技能的熟练程度和认证.

科学领域:

血管外科血管外科
外科教育的外科教育
医疗模拟医疗模拟

背景情况:

由于内血管修复的使用增加,腹腔大动脉瘤 (AAA) 的开放手术修复 (OSR) 的培训机会正在下降.
基于模拟的教育 (SBE) 是由欧洲血管外科学会 (ESVS) 推的2024年OSR培训指南.
新手对OSR的熟练程度对于患者的安全和手术技能的维护至关重要.

研究的目的:

评估新手是否可以通过固定的持续时间,认证SBE计划来获得基本的OSR技能.
在OSR模拟中评估OPERATE评估工具的可靠性和评级者间的可变性.
确定ENHANCE-OPEN SBE计划对OSR培训的有效性.

主要方法:

在OSR (ENHANCE-OPEN) 中对ESVS和哥本哈根认证计划进行前性测试.
包括课程前的电子学习和21小时的实践SBE使用现实的脉动式AAA模型.
使用OPERATE评估工具的绩效评级,通过27.7分的合格限度来定义熟练程度.

主要成果:

在24名新手中,有21名 (88%) 获得了熟练程度和认证.
平均绩效得分从基线23提高到最终测试的32.
操作工具表现出良好的内部一致性 (克朗巴赫的α=0.93),但观察到显著的评分器之间的变化.

结论:

ENHANCE-OPEN计划使大多数新手能够在基本的OSR中获得熟练程度和认证.
在评估OSR技能方面,OPERATE评估工具可靠.
导师评级的高变化凸显了对标准化导师培训的需要.

关键词:

评估评估的方法认证认证认证认证认证认证课程课程课程课程开放性大动脉动脉瘤修复基于模拟的教育基于模拟的教育

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