进步结肠镜培训:针对技能掌握的定制策略和基于模拟的模型.
Nilanga Nishad1, Malith Nandasena2, Andreas Hadjinicolaou3
1Department of Gastroenterology, Sheffield University Hospitals NHS Trust, Sheffield, UK.
Clinical endoscopy
|June 9, 2025
概括
内镜培训将方法定制为技能水平,从初学者到专家,使用模拟和有意识的实践. 基于能力的方法通过个性化,反驱动的技能发展来确保掌握.
科学领域:
- 医学教育 医学教育
- 胃肠病学培训 胃肠病学培训
- 手术模拟器手术模拟器
背景情况:
- 有效的内镜培训需要评估学员的技能水平,从初学者到专家.
- 培训方法必须适应不同的熟练程度阶段,重点是基础技能或复杂技术.
- 通过有意识的练习,反思和清晰的沟通来实现有意识的能力.
研究的目的:
- 概述一种结构化的内镜培训方法,适应所有技能水平.
- 审查不同培训阶段的各种模拟模式.
- 强调基于能力的进步和个性化的学习.
主要方法:
- 将学员分类为技能水平:初学者,学习者,独立从业者和专家.
- 利用基于模拟的模型,包括虚拟现实 (VR),板模型,3D打印和混合系统.
- 在基于能力的框架中,将有意识的实践,反思和反纳入.
- 在结构化技能发展中采用SMART目标.
主要成果:
- 模拟模型有效地培养基本和高级技能;VR是基础学习的优势.
- 低保真模型对于初学者来说是具有成本效益的,而高级学员则从复杂的模拟中受益.
- 被指导的活体患者模型提供了现实世界的体验,但提出了伦理方面的考虑.
结论:
- 内镜培训必须是个性化的,基于能力的,并使用适合每个技能水平的模拟工具.
- 刻意实践和结构化的反对于开发程序专业知识和确保患者安全至关重要.
- 持续调整培训方法以适应学员需求,对于掌握内镜术至关重要.
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