在结肠镜检查中作为培训指标的多斑切除腺瘤:与专家表现相比,实习生进展的回顾性分析
Young Min Song1, Kyung Su Han1, Byung Chang Kim1
1Center for Colorectal Cancer, Research Institute and Hospital, National Cancer Center, Goyang, Korea.
一次多角切除腺瘤 (APP) 追踪了实习生在结肠镜中的技能进展. 实习生显示了3个不同的APP阶段,表明了APP作为培训评估指标的潜力.
科学领域:
- 胃肠病学 胃肠病学
- 医学教育 医学教育
- 内镜检查是指内镜检查.
背景情况:
- 结肠镜对于结肠直肠癌查至关重要.
- 评估实习生在腺瘤检测方面的能力至关重要.
- 需要新的指标来客观地评估结肠镜检查技能.
研究的目的:
- 引入每次多角切除腺瘤 (APP) 作为一个新的指标.
- 评估结肠镜培训生的损伤歧视技能进展情况.
- 评估结肠镜培训计划的有效性.
主要方法:
- 韩国国家癌症中心的回顾性研究 (2020年3月至2023年2月).
- 对比了9名实习生和5名专家内镜医生.
- 定义的APP是组织学确认的腺瘤,每次多角切除;按序列计算.
主要成果:
- 实习生的平均APP (67.0%) 明显低于专家的 (73.9%).
- 实习生APP的进展显示了3个阶段:最初的上升,下降,然后适度上升.
- 即使在超过500个病例之后,学员的APP仍然低于专家的APP (69.9%vs73.9%).
结论:
- 腺瘤每次多角切除术 (APP) 反映了视觉腺瘤区分能力.
- 在培训期间APP的进展发生在3个不同的阶段.
- APP可以作为评估结肠镜训练有效性的额外指标.
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