需要与动物进行训练吗?
Rachel E Hollyoak1, Chris L Foteff1, Alun Cameron1
1Australian Safety and Efficacy Register of New Interventional Procedures, Surgical (ASERNIP-S), Royal Australasian College of Surgeons, Kent Town, South Australia, Australia.
ANZ journal of surgery
|October 16, 2025
概括
在手术中使用动物模型的活组织训练 (LTT) 缺乏对模拟的优越性证据. 伦理考虑和成本效益应该指导在外科教育中使用LTT的决定.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 兽医医学 兽医医学 兽医医学
背景情况:
- 活组织培训 (LTT) 一直是外科创伤教育的历史基石.
- 虽然一些地区已经远离LTT,但某些专业课程仍然使用动物模型.
- 本综述考察了临床医生的看法和以动物为基础的外科培训的有效性.
研究的目的:
- 评估在外科教育中持续活组织培训 (LTT) 的适当性.
- 为了比较动物模型与外科培训中的替代模拟方法的有效性.
主要方法:
- 使用PubMed和谷歌学者进行了一项快速文献审查.
- 由于所包含的研究的多样性,采用了叙事综合.
主要成果:
- 在自我有效性,有效性或获得的知识方面,动物模型和模拟之间没有发现显著差异.
- 一些专业,包括神经干预医生和儿科外科医生,更喜欢动物模型.
- 发现缺乏直接证据支持LTT比其他替代品更有好处.
结论:
- 与替代模拟模式相比,LTT的优势需要更强有力的证据.
- 必须权衡道德成本和明确的教育优势与替代方法.
- 需要进一步的理由来支持默认接受LTT的教育好处.
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