When to Introduce Three-Dimensional Visualization Technology into Surgical Residency: A Randomized Controlled Trial
When to Introduce Three-Dimensional Visualization Technology into Surgical Residency: A Randomized Controlled Trial
复制标题
DOI：
10.1007/s10916-019-1157-0
复制
发表时间：
2019-03-01
影响因子：
5.3
通讯作者：
Zhao, Yupei
中科院分区：
文献类型：
--
作者：
Lin, Chen;Gao, Junyi;Zhao, Yupei
三维重建图像在医学教育中的应用越来越广泛。尽管许多研究描述了这种应用的好处，但将3D技术引入外科培训的最佳时机尚未确定。因此，我们进行了一项随机研究，以确定引入该技术的合适时期。将71名外科住院医师随机分为2组（二维计算机断层扫描（CT）组和三维图像组），完成解剖学和影像学测试以及问卷调查。3D组的研究生一年级（PGY1）居民的表现明显优于CT组，尽管第三年的居民在得分和回答问题的时间上没有显着差异。虽然不同培训年限的住院医师对解剖学和影像学学习难度的态度不同，但他们对3D培训的接受程度都很高。本研究发现，三维图像改善了初级住院医师在图像推理方面的表现。因此，在外科住院医师培训计划的早期系统地引入3D图像可能有助于产生更好的解剖成像-手术系统。
Three-dimensional (3D) reconstructed images have been increasingly applied for medical education. Although many studies have described the benefits of such applications, the best time to introduce 3D technology into surgical training has not been determined. Therefore, we conducted a randomized study to determine a suitable period for the introduction of this technology. Seventy-one surgical residents were randomized into 2 groups (two-dimensional computed tomography (CT) group and 3D image group), and they completed a test on anatomy and imaging as well as a questionnaire. Post-graduate year 1 (PGY1) residents in the 3D group performed significantly better than those in the CT group, although the third-year residents did not present significant differences in either the score or the time spent answering the questions. Although residents in different years of training held different attitudes toward the difficulty of anatomy and imaging learning, they all showed a high level of acceptance of the 3D training. This study revealed that 3D images improved the junior residents' performance in imaging reasoning. Thus, systematically introducing 3D images early in a surgical resident training program may help produce a better anatomy-imaging-surgery system.