The anatomy of complications workshop: an educational strategy to improve the training and performance of fellows in gynecologic oncology
The anatomy of complications workshop: an educational strategy to improve the training and performance of fellows in gynecologic oncology
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DOI：
10.1016/j.ygyno.2004.06.022
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发表时间：
2004-09-01
影响因子：
4.7
通讯作者：
McMenamin, P
中科院分区：
文献类型：
--
作者：
Hammond, I;Taylor, J;McMenamin, P
目标。在澳大拉西亚、美国和加拿大，认证妇科肿瘤学家（CGO）被期望能够胜任与妇科肿瘤学相关的肠道、泌尿和血管手术。这种能力可能很难实现，在最初的培训中，模拟而不是人类患者的经验可能更可取。我们提出的结构，目标，基本原理，并为外科技能研讨会的结果，旨在提高在妇科肿瘤研究员的表现。车间结构。研讨会的总体目标是预防和管理妇科肿瘤手术并发症。研讨会前的准备工作包括解剖插图，以指导阅读和培训视频描述手术程序和羊和猪解剖的相关方面。有四个模块：(i)解剖学包括一个互动讲座，尸体解剖和检察检查。（ii）猪外科包括演示、练习和学习处理肠、膀胱、输尿管和大血管意外或故意手术损伤所需的技术，以及进行不太常见的手术。（iii）活羊手术允许进一步监督这些程序的实践以及血管损伤的修复。（iv）个案呈报，让每位参加者在小组讨论中呈报一个复杂的个案，并听取同学的意见。该会话是受控的、无威胁的、交互式的。参与者的反馈和评价表明，这种研讨会的形式和练习不常见程序的机会对临床实践有帮助。提出这种教育模式是希望它可以作为其他国家发展类似项目的模板。(C) 2004爱思唯尔公司版权所有。
Objectives. In Australasia, the USA, and Canada, certified gynecologic oncologists (CGO) are expected to be competent in performing intestinal, urological, and vascular procedures relevant to gynecologic oncology. This competency may be difficult to achieve and experience with simulation rather than human patients may be preferable during initial training. We present the structure, objectives, rationale, and outcomes for a surgical skill workshop aimed to improve the performance of fellows in gynecologic oncology.Workshop structure. The overall objective of the workshop is the prevention and management of complications in gynecologic oncology surgery. Preworksbop preparation includes anatomical illustrations to guide reading and a training video describing surgical procedures and the relevant aspects of ovine and porcine anatomy. There are four modules: (i) Anatomy includes an interactive lecture, cadaveric dissection, and examination of prosections. (ii) Porcine surgery involves the demonstration, practice, and learning of techniques needed to deal with unexpected or deliberate operative injury to bowel, bladder, ureter, and major blood vessels and performance of less common operations. (iii) Live ovine surgery allows further supervised practice of these procedures plus the repair of vascular injury. (iv) Case presentations allow each participant to present a complicated case in a facilitated group session with discussion and feedback from their peers. This session is controlled, nonthreatening, and interactive.Conclusion. Participant feedback and evaluation suggests that this workshop format and the opportunity to practice less common procedures are helpful to clinical practice. This educational model is presented in the hope that it may act as a template for the development of similar programs for fellows in other countries. (C) 2004 Elsevier Inc. All rights reserved.