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甲状腺活检和切除的培训计划:系统性审查
Sharon Bridgemohan1, Andrea Ortiz2, Gilberto Perez Rodriguez Garcia3
1University of Florida, Gainesville, Florida.
概括
在甲状腺细针吸收 (FNA) 和射频废除 (RFA) 中进行结构化培训,可以提高临床医生的表现和患者的结果. 多模式方法,包括模拟和监督实践,是有效甲状腺干预教育的关键.
科学领域:
- 内分泌学 在内分泌学.
- 医学教育 医学教育
- 进行外科手术培训.
背景情况:
- 甲状腺细针吸收 (FNA) 和切除手术需要专门的培训.
- 现有的培训计划在结构和有效性方面各不相同.
- 评估教育干预措施对于改善临床实践至关重要.
研究的目的:
- 系统地审查甲状腺FNA和废除程序的教育计划.
- 确定共同的培训组件,并评估它们对结果的影响.
- 评估基于模拟和监督培训的有效性.
主要方法:
- 对5个数据库的系统审查 (2000-2025年).
- 包括关于甲状腺FNA或除技术培训的研究.
- 数据提取和偏差风险评估由两个独立审稿人进行.
主要成果:
- 十项研究符合标准 (9项FNA,1项RFA);所有研究都具有中度至高偏差风险.
- 共同的组成部分:教学课程,实践模拟,监督临床经验,多式联络方法.
- 结果包括提高信心,准确性,速度,活检充分性,诊断产量和减少等待时间.
结论:
- 结构化,多式训练可以提高甲状腺FNA和RFA学习者的表现.
- 基于模拟的学习和监督实践对于甲状腺干预训练至关重要.
- 改善的临床结果支持整合这些培训方法.
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