A Novel Cadaveric Simulation Program in Urology
A Novel Cadaveric Simulation Program in Urology
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DOI：
10.1016/j.jsurg.2015.01.005
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发表时间：
2015-07-01
影响因子：
2.9
通讯作者：
McCabe, John E.
中科院分区：
文献类型：
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作者：
Ahmed, Kamran;Aydin, Abdullatif;McCabe, John E.
目的：评价英国泌尿外科协会制定的泌尿外科人体身体训练计划。设计：这项前瞻性、观察性的对比研究招募了具有不同经验水平的泌尿外科住院医师，参加了为期3天的身体泌尿外科模块化手术训练。参与者在注册的泌尿外科医生的监督下，按照模块对新鲜冷冻的身体标本进行了各种程序。在每个模块结束时，所有住院医生和教职员工都被邀请完成一份评估调查。设置：培训日由英国泌尿外科医生协会在曼彻斯特大学外科技能和模拟中心主办。伙伴：总共招募了81名泌尿外科住院医生，每个模块最多14人参加，分2个课程。我们为每具身体分配了2名参与者，以获得所有必要的设备和指导。结果：从学员和教职员工那里收到了102份评估调查，应答率为94%。所有手术的表面效度得分均为3分，高于可接受范围。在内容有效性方面，参与者和教职员工对所有方面的评分均为3分(5分)。受访者对身体解剖课持积极态度，认为身体解剖课有助于学习解剖学和手术步骤(平均数=4.54)，并有助于增强信心(平均数=4.33)。此外，认为培训项目显著提高了技能(平均数=4.11)，为手术室提供了可移植的技能(平均数=4.21)，并可纳入培训计划(平均数=4.29)。人体模拟被评为课程中所有程序的最佳模拟训练模式。结论：身体模拟训练的研究证实了面子和内容的有效性。身体模拟具有可行性、可接受性、较高的教育影响力和成本效益。为了有效地进行泌尿外科的程序性训练，提出了一种基于模拟的训练路径。(C)2015年外科方案主任协会。由Elsevier Inc.出版。保留所有权利。)
OBJECTIVE: To evaluate the urology human cadaver training program developed by the British Association of Urological Surgeons.DESIGN: This prospective, observational comparative study recruited urology residents, with different levels of experience, in 2 sessions of a 3-day modular cadaveric operative urology training. Participants performed various procedures on fresh-frozen cadaveric specimens, as per module, supervised by certified urological surgeons. At the conclusion of each module, all residents and faculty were invited to complete an evaluation survey.SETTING: The training days were hosted by the British Association of Urological Surgeons at the University of Manchester Surgical Skills and Simulation Centre.PARTICIPANTS: A total of 81 urology residents were recruited, with a maximum of 14 participants attending each module, over 2 sessions. We allocated 2 participants to each cadaver with access to all necessary equipment and guidance.RESULTS: A total of 102 evaluation surveys were received from the trainees and faculty; a response rate of 94%. All procedures scored a mean of 3 on 5 for face validity, which is higher than the acceptability range. Regarding content validity, participants and faculty rated all aspects >= 3 on 5. Respondents held a positive view of the cadaver sessions and believed them to be useful for learning anatomy and steps of an operation (mean = 4.54) and as a confidence booster for performing a procedure (mean = 4.33). Furthermore, it was thought that the training program significantly improved skills (mean = 4.11), gave transferrable skills for the operating room (mean = 4.21), and was feasible to be incorporated into training programs (mean = 4.29). Human cadaveric simulation was rated as the best mode of simulation-based training for all the procedures in the curriculum.CONCLUSIONS: This study on cadaveric simulation training demonstrated face and content validities. It also showed feasibility, acceptability, a high value for educational influence and cost-effectiveness for cadaveric simulation. A simulation-based training pathway has been proposed for effective procedural training in urology. (C) 2015 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.)