培训内镜粘膜切除:实践内镜师短期课程的有效性和临床实用性
Ahmed Kayal1,2,3, Sylvain Coderre1,2, Maitreyi Raman1,2
1Department of Medicine, Division of Gastroenterology and Hepatology, University of Calgary, Calgary, Alberta T2N 1N4, Canada.
Journal of the Canadian Association of Gastroenterology
|October 27, 2025
概括
一天内镜粘膜切除 (EMR) 培训课程显著提高了执业内镜师的知识和技能. 该EMR课程证明了有效的知识获取和保留,这表明对临床实践产生了积极的影响.
科学领域:
- 胃肠病学 胃肠病学
- 医疗教育 医学教育
- 手术模拟器手术模拟器
背景情况:
- 内镜粘膜切除 (EMR) 是一种关键的技术,通常在标准培训中不被系统地教授.
- 实践内镜医生可能缺乏先进的内镜组织切除方法的正式培训,如EMR.
研究的目的:
- 评估一天的教学和基于模拟的EMR课程的有效性和临床实用性.
- 评估EMR课程后内镜科医生的知识获取,保留和潜在的实践变化.
主要方法:
- 实施了一天的EMR课程,结合讲座和模拟.
- 参与者通过课前,课后和延迟的多选择题 (MCQ) 考试进行了评估.
- 使用调查和半结构面试来评估感知到的好处和实践变化.
主要成果:
- 平均MCQ分数从课程前 (47.8%) 到课程后 (75%) 和延迟 (70.8%) 评估显著增加 (P < .001).
- 在课程后和延迟分数之间没有发现显著差异,这表明持续的知识.
- 采访显示,需要EMR培训,改善多体评估知识和改进EMR技术.
结论:
- 一天的EMR培训计划有效地提高了内镜医生的知识和认知技能.
- 基于模拟的课程导致了大量的知识获取和保留.
- 该研究表明,专注的EMR培训可以积极影响临床实践.
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