Collaboration in simulation: The development and initial validation of a novel thoracoscopic neonatal simulator
Collaboration in simulation: The development and initial validation of a novel thoracoscopic neonatal simulator
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DOI：
10.1016/j.jpedsurg.2013.03.015
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发表时间：
2013-06-01
影响因子：
2.4
通讯作者：
Davis, Lauren M.
中科院分区：
文献类型：
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作者：
Barsness, Katherine A.;Rooney, Deborah M.;Davis, Lauren M.
目的：我们试图创建并验证用于胸腔镜食管闭锁/气管食管瘘（EA/TEF）修复的高保真度、解剖学上正确的真实组织模拟模型。方法：创建了新生儿胸腔的比例复制品。经过手术修饰 (EA/TEF) 的胎牛组织完成了模拟器。九名小儿外科研究员和两名小儿主治外科医生 (n = 11) 进行了模拟胸腔镜 EA/TEF 修复。参与者完成了自我报告评分量表，范围从 1（不知道）到 5（非常现实）。通过使用多方面 Rasch 模型检查评级来评估与测试内容相关的构建有效性。结果：分析表明，在比较教师（观察平均值 (OA) = 4.5/5.0）和研究员（OA = 3.3）评级时没有差异，p = .71。按降序排列，观察到的领域平均值为 4.7（相关性）、4.5（物理属性）、4.5（材料的真实性）、4.4（执行任务的能力）和 4.2（价值）。观察到的全球意见评级表明，该模拟器可以考虑用于胸腔镜 EA/TEF 修复教学，但还可以略有改进。结论：研究员和教员评级表明，该模拟器经过细微修改，作为一种学习工具很有价值。评论与高物理属性评级一致。 (C) 2013 Elsevier Inc. 保留所有权利。
Purpose: We sought to create and validate a high fidelity, anatomically correct real tissue simulation model for thoracoscopic esophageal atresia/tracheoesophageal fistula (EA/TEF) repair.Methods: A scale reproduction of a neonatal rib cage was created. Surgically modified (EA/TEF) fetal bovine tissue completed the simulator. Nine pediatric surgery fellows and two attending pediatric surgeons (n = 11) performed the simulated thoracoscopic EA/TEF repair. Participants completed a self-report rating scale, ranging from 1 (Don't know) to 5 (Highly realistic). Construct validity relevant to test content was evaluated by examining the ratings using the many-Facet Rasch model.Results: Analyses indicated no differences when comparing faculty (Observed Average (OA) = 4.5/5.0) to fellow (OA = 3.3) ratings, p = .71. In descending order, observed averages of the domains were 4.7 (Relevance), 4.5 (Physical attributes), 4.5 (Realism of materials), 4.4 (Ability to perform task), and 4.2 (Value). The observed Global opinion rating indicated the simulator can be considered for teaching thoracoscopic EA/TEF repair but could be improved slightly.Conclusions: Fellow and faculty ratings indicated the simulator was valuable as a learning tool with minor modifications. Comments were consistent with high physical attribute ratings. (C) 2013 Elsevier Inc. All rights reserved.