Experience With a Simulator-Based Angiography Course for Neurosurgical Residents: Beyond a Pilot Program
Experience With a Simulator-Based Angiography Course for Neurosurgical Residents: Beyond a Pilot Program
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DOI：
10.1227/neu.0000000000000059
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发表时间：
2013-10-01
期刊：
影响因子：
4.8
通讯作者：
Mocco, J.
中科院分区：
文献类型：
--
作者：
Fargen, Kyle M.;Arthur, Adam S.;Mocco, J.
背景：在工作时间限制的时代，模拟是一种越来越有用的教学手段。自诊断性脑血管造影模拟器课程试点项目完成以来，我们已在两届神经外科医生大会（CNS）年会上开展了该住院医师课程，参加人数较多。 目的：报告这些课程的持续成果。 方法：在两届 CNS 年会上进行了 120 分钟的基于模拟器的培训课程。进行了课前书面和模拟器技能评估，然后在血管内模拟器上进行了讲师指导的培训。然后进行课后书面评估和模拟器实践评估，并与课前分数进行比较。 结果：37 名神经外科住院医师参与者完成了课程模块：16 人完成了提供的第一门课程，21 人完成了第二门课程。后测书面分数显着高于前测分数（平均值 +/- SEM，8.5 +/- 0.40.3 vs 4.9 +/- 0.3；P < .001）。 CNS 2011 组和 CNS 2012 组的教师对参与者实际后测试分数的评估均显着高于预测试实际分数 (P < .001)。结论：通过国家神经外科会议上的课程向学员扩展基于课程的脑血管造影模拟器试点计划，显示出优异的结果，笔试分数和教师对参与者技术技能的评估均显着提高。随着模拟技术和真实性的不断提高，脑血管造影模拟器培训可能成为未来住院医师培训的一个组成部分。
BACKGROUND: Simulation is an increasingly useful means of teaching in the era of duty hour restrictions. Since the completion of our diagnostic cerebral angiography simulator curriculum pilot program, we have performed this resident course at 2 Congress of Neurological Surgeons (CNS) annual meetings with larger participant numbers.OBJECTIVE: To report the ongoing results of these courses.METHODS: A 120-minute simulator-based training course was performed at 2 CNS annual meetings. Precourse written and simulator skills assessments were performed, followed by instructor-guided training on an endovascular simulator. Postcourse written and simulator practical assessments were then performed and compared with precourse scores.RESULTS: Thirty-seven neurosurgery resident participants completed the course module: 16 completed the first course provided and 21 completed the second. Posttest written scores were significantly higher than pretest scores (mean +/- SEM, 8.5 +/- 0.40.3 vs 4.9 +/- 0.3; P < .001). Instructor assessments of practical posttest scores of participants were significantly higher than pretest practical scores for both the CNS 2011 and CNS 2012 groups (P < .001).CONCLUSION: The expansion of a curriculum-based, cerebral angiography simulator pilot program to trainees through courses at national neurosurgical meetings demonstrated excellent results with significant improvements in written test scores and instructor assessments of participant technical skills. With ever-expanding improvements in simulation technology and realism, simulator training for cerebral angiography may become an integral component of resident training in the future.