Transfer of training in acquiring laparoscopic skills
Transfer of training in acquiring laparoscopic skills
复制标题
DOI：
10.1016/s1072-7515(01)01069-9
复制
发表时间：
2001-11-01
影响因子：
5.2
通讯作者：
Schwartz, RW
中科院分区：
文献类型：
--
作者：
Figert, PL;Park, AE;Schwartz, RW
背景：在获得更复杂或相关技能的过程中，建立在已经学到的技能之上，被称为培训转移（TOT）。本研究探讨了TOT的影响，以前开放和腹腔镜手术的经验，腹腔镜training modules.Study设计：颅内打结被选为评估TOT之间的三组外科住院医师：具有有限开放和腹腔镜手术经验的实习医生（n = 11），具有近期和正在进行的开放和腹腔镜手术经验的初级住院医师（n = 9），和具有远程和有限腹腔镜经验但正在进行开放手术经验的高级住院医师（n = 8）。在接受了关于三种打结技术的讲座、演示和书面说明后，居民们在两天内轮流参观了三个表演站，每种技术一个。经过15分钟的练习，居民们完成了一个测试结。时间完成和经济的议案进行了记录和analysed.Results：初级居民有较少的性能错误比高级居民（平均标准误差的平均值），并显着快于实习生。实习生和高级居民之间的平均时间或错误的表现没有显着差异。从开放手术经验到腹腔镜打结，老年住院医师未证明TOT。没有显着差异，在三个会议的错误或为time.CONCLUSION：没有证据表明TOT从开放手术经验，新引进的腹腔镜打结技术或从一个技能培训会议到不同的技能会议至少4小时后。这项研究表明，具体的微创手术培训，需要发展腹腔镜手术技能。
BACKGROUND: Building on skills already learned in acquiring more complex or related skills is termed transfer of training (TOT). This study examined the TOT effects of previous open and laparoscopic surgical experience on a laparoscopic training module.STUDY DESIGN: Intracorporeal knot tying was chosen for evaluating TOT among three groups of surgical residents: interns (n = 11) with limited open and laparoscopic surgical experience, junior residents (n = 9) with recent and ongoing open and laparoscopic surgical experience, and senior residents (n = 8) with remote and limited laparoscopic experience but ongoing open surgical experience. After receiving a lecture, demonstration, and written instructions on three knot-tying techniques, residents rotated through three performance stations, one for each technique, over 2 days. After 15 minutes of practice, the residents were videotaped completing a test knot. Time to completion and economy of motion were recorded and analyzed.RESULTS: junior residents had fewer performance errors than senior residents (reported as mean standard error of the mean) and were significantly faster than interns. No significant differences between interns and senior residents for mean time or error performance were observed. Senior residents did not demonstrate TOT from open surgical experience to laparoscopic knot tying. No significant differences were obtained across the three sessions for errors or for time.CONCLUSION: No evidence was found for TOT from open surgical experience to newly introduced laparoscopic knot-tying techniques or from one skill training session to a different skill session at least 4 hours later. This study indicates that specific minimally invasive surgery training is needed to develop laparoscopic surgery skills.