The use of a lightly preserved cadaver and full thickness pig skin to teach technical skills on the surgery clerkship-a response to the economic pressures facing academic medicine today
The use of a lightly preserved cadaver and full thickness pig skin to teach technical skills on the surgery clerkship-a response to the economic pressures facing academic medicine today
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DOI：
10.1016/j.amjsurg.2009.07.039
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发表时间：
2010-07-01
影响因子：
3
通讯作者：
Adamas-Rappaport, William J.
中科院分区：
文献类型：
--
作者：
DiMaggio, Paul J.;Waer, Amy L.;Adamas-Rappaport, William J.
背景技术背景：为了应对下降的教学技术技能，作者制定了一种新的方法来教基本的程序技能开始的外科clerkship.METHODS：六十三名医学生参加了技能培训实验室。实验室的第一部分教授基本的皮肤移植技能，第二部分涉及一具尸体，猪皮移植到不同的解剖位置。临床情景进行了模拟，和学生进行基本的程序skills.RESULTS：学生学到了他们的大部分技能，在实验室的技能会议，与急诊室或手术室（P = .01）。学生们报告说，实验室使他们有更多的机会参与急诊室和手术室。学生们还认为，缝合实验室大大有助于他们的伤口缝合技能。最后，90%的学生从来没有收到指令上的手术，只有12%的人进行了任何程序的技能开始前的手术rotation.CONCLUSIONS：实验室描述的是一种有效的方式，确保必要的技术技能传授手术旋转。(C)2010年爱思唯尔公司All rights reserved.
BACKGROUND: In response to declining instruction in technical skills, the authors instituted a novel method to teach basic procedural skills to medical students beginning the surgery clerkship.METHODS: Sixty-three medical students participated in a skills training laboratory. The first part of the laboratory taught basic suturing skills, and the second involved a cadaver with pig skin grafted to different anatomic locations. Clinical scenarios were simulated, and students performed essential procedural skills.RESULTS: Students learned most of their suturing skills in the laboratory skills sessions, compared with the emergency room or the operating room (P = .01). Students reported that the laboratory allowed them greater opportunity to participate in the emergency room and operating room. Students also felt that the suture laboratory contributed greatly to their skills in wound closure. Finally, 90% of students had never received instruction on suturing, and only 12% had performed any procedural skills before beginning the surgery rotation.CONCLUSIONS: The laboratory described is an effective way of insuring that necessary technical skills are imparted during the surgery rotation. (C) 2010 Elsevier Inc. All rights reserved.