下切割模型的开发是否会影响培训质量? 现有模型的比较
Clara Yzet1,2, Jérémie Jacques3, Pierre Lafeuille4
1Gastroenterology, Hopital Edouard Herriot, Lyon, France.
Endoscopy international open
|July 4, 2025
概括
活体模型有效地培养了内镜下层剖析 (ESD) 技能. 牛结肠模型是最有效的技能歧视,而合成模型适合新手学习者.
科学领域:
- 胃肠病学 胃肠病学
- 外科教育的外科教育
背景情况:
- 内镜下粘膜切割 (ESD) 是一种越来越多地使用的技术.
- 对ESD培训的有限准入阻碍了其广泛采用.
研究的目的:
- 评估和比较各种培训模型对内镜下膜剖析 (ESD) 的有效性.
- 通过使用不同的ESD模拟模型来评估学员的技能进步.
主要方法:
- 在1周的课程中使用了四种训练模型 (牛结肠,ex vivo猪,活猪,Endogel).
- 参与者在开始 (D1) 和结束 (D5) 时使用客观结构化技术技能评估 (OSATS) 评分进行评估.
- 实习生在每个模型上按随机顺序执行了标准化的2厘米ESD.
主要成果:
- 16名内镜医生 (平均年龄35.6岁,10年经验) 参与了这项研究.
- 在所有模型中都观察到显著的OSATS得分增加.
- 牛结肠和活猪模型在OSATS分数中显示出最大的改善.
结论:
- 实体模型对于发展ESD能力是有价值的.
- 牛结肠模型在区分技能水平方面似乎最有效.
- 像Endogel这样的合成模型最适合初学者内镜师的初始培训.
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