The effect of bench model fidelity on endourological skills: A randomized controlled study
The effect of bench model fidelity on endourological skills: A randomized controlled study
复制标题
DOI：
10.1016/s0022-5347(05)65274-3
复制
发表时间：
2002-03-01
影响因子：
6.6
通讯作者：
Cusimano, MD
中科院分区：
文献类型：
--
作者：
Matsumoto, ED;Hamstra, SJ;Cusimano, MD
目的：通过外科技能实验室的工作台模型，向泌尿外科新手学员传授复杂的技能，如输尿管镜检查和结石取出。我们确定了动手训练是否比只通过授课课程教授的新手的表现更好，以及在低保真模型和高保真模型下授课的受试者的表现是否存在差异。材料和方法：我们随机选择40名最后一年的医学生参加授课课程，或者两个动手训练组中的一个，包括低保真或高保真的板凳模型练习。培训课程由经验丰富的内科医生监督。测试包括使用半刚性输尿管镜和篮子取出输尿管中段结石。盲人考官在训练前后对受试者进行测试。采用全球评定量表、检查表、及格率和完成任务所需的时间进行评估。结果：上手培训对内窥镜检查的效果有显著影响(p
Purpose: Complex skills, such as ureteroscopy and stone extraction, are increasingly taught to novice urology trainees using bench models in surgical skills laboratories. We determined whether hands-on training improved the performance of novices more than those taught only by a didactic session and whether there was a difference in the performance of subjects taught on a low versus a high fidelity model.Materials and Methods: We randomized 40 final year medical students to a didactic session or 1 of 2 hands-on training groups involving low or high fidelity bench model practice. Training sessions were supervised by experienced endourologists. Testing involved removal of a mid ureteral stone using a semirigid ureteroscope and a basket. Blinded examiners tested subjects before and after training. Performance was measured by a global rating scale, checklist, pass rating and time needed to complete the task.Results: There was a significant effect of hands-on training on endourological performance (p