Simulation in Plastic Surgery Training and Education: The Path Forward
Simulation in Plastic Surgery Training and Education: The Path Forward
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DOI：
10.1097/prs.0b013e3181958ec4
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发表时间：
2009-02-01
影响因子：
3.6
通讯作者：
Greer, Sarah E.
中科院分区：
文献类型：
--
作者：
Rosen, Joseph M.;Long, Sarah A.;Greer, Sarah E.
基于计算机的训练模拟器已被广泛使用，尤其是在飞行模拟中。在过去的 20 年里，手术模拟器得到了发展，最初用于微创手术的培训，最近用于开放式手术模拟。当今手术模拟领域的关键工作是开发指标来评估在模拟器中学到的技能如何转化为手术室中真实手术技能、手术执行和团队合作的改进。美国外科医生学会已开始实施分阶段方法，在普通外科培训和教育中引入模拟。作者认为，整形外科也应该制定类似的培训计划，利用计算机、虚拟现实和模拟技术对整形外科住院医生进行培训，并探索该技术对继续医学教育和维持认证的价值。本文简要介绍了手术模拟及其技术的背景和历史，随后详细描述了美国外科医生学会计划的三个阶段，以及作者建议如何实施每个阶段，并进行了适用于整形外科学员的修改。 （塑料重建外科 123：729，2009 年。）
Computer-based training simulators have been used extensively, most notably in flight simulation. Over the past 20 years, surgical simulators have been developed, initially for training of minimally invasive surgery and more recently for open surgical simulation. The key effort in today's surgical simulation field is to develop metrics to evaluate how well the skills learned in a simulator translate to improvement in real surgical skills, execution of procedures, and team cooperation in the operating room. The American College of Surgeons has begun implementing a phased approach to introduce simulation in training and education for general surgery. The authors believe that a similar training plan should be mandated for plastic surgery, to take advantage of the use of computers, virtual reality, and simulation in the training of plastic surgery residents and to explore the value of this technology for continuing medical education and maintenance of certification. This article gives a brief background and history of surgical simulation and its technology, followed by a detailed description of the three phases of the American College of Surgeons' plan and how the authors propose that each phase be implemented, with modifications as applicable for trainees in plastic surgery. (Plast. Reconstr. Surg. 123: 729, 2009.)