验证的微手术培训计划:当前文献的系统审查
Victor Esanu1,2, Teona Z Carciumaru3, Alexandru Ilie-Ene4
1Center for Complex Microvascular Surgery, Erasmus MC, 3015 GD Rotterdam, The Netherlands.
Journal of clinical medicine
|November 13, 2025
概括
经过验证的微手术培训计划显示,技能获取有所改善,但标准化和成本效益方面的挑战仍然存在. 未来的研究应该专注于预测有效性和技能维护,以改善外科教育.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 微手术 微手术是一种微手术.
背景情况:
- 由于的学习曲线和训练限制,微手术技能的获得是复杂的.
- 基于模拟的培训提供了潜在的解决方案,但缺乏强有力的证据.
- 本审查评估了支持经过验证的微手术培训计划的证据.
研究的目的:
- 系统地审查和评估经过验证的微手术培训计划的科学证据.
- 评估支持这些培训干预措施的证据的质量和范围.
主要方法:
- 一个系统的文献审查,遵循PRISMA指南.
- 在多个数据库中进行搜索 (科学网,Medline,Embase,ERIC).
- 使用MERSQI评估研究质量,使用既定框架评估有效性;使用OCEBM评估证据水平 (LoE) 和建议 (LoR).
主要成果:
- 25项研究符合纳入标准,将课程分类为密集课程或纵向课程.
- 面部,内容和构造有效性通常被评估;预测有效性被低估.
- 大多数研究 (96%) 报告了技能改进,但限制包括小样本规模和缺乏长期跟踪.
结论:
- 经过验证的微手术培训计划有效地提高了技能获取.
- 标准化,成本效益和预测有效性需要进一步研究.
- 未来的研究应该集中在技能维护和标准化的客观评估工具上.
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