自动化反系统在外科培训中的教育影响:用定量合成进行系统审查
Gauri Harshawardhan Godbole1, Daniel Hawkins1, Kingsley Ewool2
1Barts and The London School of Medicine and Dentistry, London, United Kingdom; Queen Mary University of London, London, United Kingdom.
Journal of surgical education
|February 11, 2026
概括
自动反系统 (AFS) 在模拟环境中显著改善了手术技能的获取. 这些系统提高了技术性能和学习者满意度,对于早期的外科训练非常有价值.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 医疗信息学 医疗信息学
背景情况:
- 获得技术外科技能对于患者安全至关重要.
- 传统的培训方法可能缺乏客观的,即时的反.
- 自动反系统 (AFS) 为标准化技能发展提供了潜力.
研究的目的:
- 系统地评估AFS对技术外科技能的影响.
- 评估AFS在基于模拟的外科培训环境中的有效性.
主要方法:
- 2013年5月至2024年12月发表的14项研究 (814名实习生) 的PRISMA指导系统审查.
- 包括的研究比较了没有反的AFS或评估了AFS对模拟环境中的技术技能的影响.
- 使用ROB-2,ROBINS-I和GRADE评估了偏差风险和证据确定性.
主要成果:
- 所有研究都报告了AFS技术技能的改善,9项研究显示了显著的收益 (平均38.1%的改善).
- 聚合分析表明中等至大效益 (海奇斯的g=0.81).
- AFS提高了学习者满意度 (60%),减少了路径长度 (41%),增加了速度 (9.4%),并减少了施加力 (11.8%).
结论:
- AFS与技术外科手术性能中等至大程度的改善有关,特别是在基础任务中.
- 证据支持AFS作为早期外科培训的宝贵辅助,主要是在模拟设置中.
- 与专家监督的整合对于最大化益处和确保可转移到临床实践至关重要.
相关概念视频
Feedback control systems
732
Feedback control systems are categorized in various ways based on their design, analysis, and signal types.
Linear feedback systems are theoretical models that simplify analysis and design. These systems operate under the principle that their output is directly proportional to their input within certain ranges. For instance, an amplifier in a control system behaves linearly as long as the input signal remains within a specific range. However, most physical systems exhibit inherent nonlinearity...
Linear feedback systems are theoretical models that simplify analysis and design. These systems operate under the principle that their output is directly proportional to their input within certain ranges. For instance, an amplifier in a control system behaves linearly as long as the input signal remains within a specific range. However, most physical systems exhibit inherent nonlinearity...
732
Root Loci for Positive-Feedback Systems
353
The Hartley oscillator is a positive feedback system that sustains oscillations by feeding the output back to the input in phase, thereby reinforcing the signal. Positive feedback systems can be viewed as negative feedback systems with inverted feedback signals. In these systems, the root locus encompasses all points on the s-plane where the angle of the system transfer function equals 360 degrees.
The construction rules for the root locus in positive feedback systems are similar to those in...
The construction rules for the root locus in positive feedback systems are similar to those in...
353
Feedback Inhibition
57.3K
Biochemical reactions are occurring constantly in cells, converting starting substances to different products, usually with the help of enzymes that speed the reactions. Without enzymes, it would take far too long for most reactions to occur to be useful to the cell!
57.3K
Review and Preview
8.4K
In statistics, several tools are used to interpret the data. Measures of central tendency represent the characteristics of the data, such as mean, median, and mode. Additionally, measures of variance like standard deviation and range are used to find the spread of data from the mean. Relative standing measures the distance between data locations. Commonly used measures of relative standings are percentile, z score, and quartiles.
Percentiles are a type of fractile that partition data into...
Percentiles are a type of fractile that partition data into...
8.4K
Review and Preview
11.6K
Data are individual items of information obtained from a population or sample. Data may be classified as qualitative (categorical), quantitative continuous, or quantitative discrete. Because it is not practical to measure the entire population in a study, researchers use samples to represent the population. A random sample is a representative group from the population chosen by using a method that gives each individual in the population an equal chance of being included in the sample. Random...
11.6K
Feedback Loops
64.7K
In most cases, excessive hormone production is prevented by negative feedback—a loop that starts with a stimulus inducing the release of a particular substance, like a hormone, to maintain a certain level before triggering a signal that results in a decrease in further release of the hormone.
64.7K


