对于结直肠内镜下粘膜剖析的远程实践培训系统的潜力
Kohei Ono1, Ken Ohata1, Daisuke Ide2
1Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan.
概括
远程实践培训有效地教导了结直肠内镜下粘膜切割 (ESD) 技能. 参与者显著提高了范围处理速度,并对未来的远程ESD培训表现出高度兴趣.
科学领域:
- 医学教育 医学教育
- 胃肠病学 胃肠病学
- 进行外科手术培训.
背景情况:
- 实践培训对于内镜技能至关重要,但在线翻译具有挑战性.
- 自2020年以来,在线结直肠内镜下膜剖析 (ESD) 培训已经实施.
- 本研究评估了一项针对结直肠ESD的远程实践培训计划.
研究的目的:
- 评估远程实践培训计划对结直肠ESD的有效性.
- 确定在线培训是否能够充分传授复杂的内镜技能.
- 评估参与者对未来远程培训的满意度和意愿.
主要方法:
- 一个有线的50Mbps连接将一个中央设施连接到3个远程站点.
- 一个四个屏幕的图片在图片 (PinP) 视频系统流实时演示 (手,范围,姿势,内镜视图).
- 参与者完成了结构化的70分钟的课程,包括使用Scope处理培训 (ST) 套件进行计时试验,内镜练习,以及使用人工模型进行实践ESD,并通过PinP系统接受专家指导.
主要成果:
- 训练后的ST套件时间试验显著改善 (89.3s到49.4s).
- 没有可检测的音频或视频延迟,确保了无的交互.
- 94%的参与者表示对未来的远程培训课程感兴趣.
结论:
- 远程实践培训可以为复杂的程序提供高质量的指导,如结直肠ESD.
- 这种方法为偏远地区的医生提供了培训机会,减少了旅行和成本.
- 该计划显示了未来作为内镜下层剖析培训的教育工具的潜力.
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