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对日本儿科内镜学员进行内镜血静的基于模拟的培训:一个试点计划
Takeshi Kanno1,2, Itaru Iwama3, Yutaka Hatayama1
1Division of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan.
儿科内镜医生对内镜血液静止的信心较低. 基于模拟器的培训 (SBT) 显著提高了他们的技能,这表明它可以提高这一关键程序的能力.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 医疗模拟 医疗模拟
- 内镜血液静止症 (Endoscopic Hemostasis) 是一种内镜血液静止症.
背景情况:
- 对于儿科内镜医生来说,内镜血静训练提出了挑战,特别是在紧急情况下.
- 人们对儿科内镜医生在执行内镜血液静止方面的能力存在担忧.
- 基于模拟器的培训 (SBT) 为提高技能和信心提供了一个潜在的解决方案.
研究的目的:
- 为了建立实践性的研讨会,使用一种新的剪贴静血模拟器.
- 探索儿科内镜医生对内镜血静的担忧.
- 评估SBT在儿童内镜医生中增强内镜血静技能的潜力.
主要方法:
- 一个基于模拟器的培训 (SBT) 课程被日本儿科胃肠病学,肝病学和营养学会集成到研讨会中.
- 在四次研讨会 (2021年10月 - 2023年3月) 中,使用视觉模拟尺度 (VAS) 对52名儿科内镜师进行了调查.
- 回答与成年GI居民和初级居民的回答进行了比较.
主要成果:
- 与成年GI居民相比,儿科内镜师对内镜血静的理解 (VAS 47的中位数) 和信心 (VAS 0的中位数) 显着较低.
- SBT在儿童内镜医生技能提升方面表现出高效 (中位数为94.5),与成人和初级住院医生相比没有显著差异.
- 所有参与的儿科内镜医生都表达了对重复SBT会话的强烈兴趣.
结论:
- 儿科内镜医生对其在内镜血液静止方面的能力存在重大担忧.
- 使用新型模拟器的简化SBT程序有望提高儿科内镜医生的技能和信心.
- 建议进一步实施SBT,以解决儿科内镜血液静止学方面的培训缺口.
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