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培训食管胃管腺镜技巧:一项随机多中心试验,比较基于模拟的培训与临床培训
Anders Bo Nielsen1,2,3,4, Maja K Nielsen5, Nina Wensel6
1Research Unit of Medical Education, Odense University Hospital, Odense, Denmark.
Endoscopy
|August 19, 2025
概括
在传统的临床培训之前,基于模拟的培训 (SBT) 显著减少了对能力所需的食管胃管腺镜术 (EGD) 程序的数量. 这种方法可以提高学员的技能,而不会影响患者的满意度或培训成本.
科学领域:
- 医学教育 医学教育
- 胃肠病学 胃肠病学
- 手术模拟器手术模拟器
背景情况:
- 食管胃管腺镜术 (EGD) 的质量受到实习生能力和培训方法的影响.
- 优化培训途径对于培养熟练的内镜师至关重要.
研究的目的:
- 评估基于模拟的培训 (SBT) 之后的传统临床培训 (CBT) 是否减少了与单独CBT相比,独立EGD性能所需的监督程序的数量.
主要方法:
- 一项随机对照试验将EGD新手分配给SBT + CBT或单独CBT.
- 主要结果是EGD程序的数量,以实现独立的程序完成.
- 其次要结果包括患者满意度和培训成本.
主要成果:
- 与仅使用CBT的组相比,SBT组需要独立完成的程序 (中位数为31) 显著减少 (中位数为44;P = 0.006).
- 两组之间患者满意度没有显著差异.
- 在两组中,培训成本的中位数是可比的.
结论:
- 在临床实践之前,基于模拟的培训加速了EGD的学习曲线.
- 在不影响患者护理或增加成本的情况下,SBT集成有效地提高了学员效率.
- 这些发现支持SBT在EGD培训中的常规采用.
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