Skill acquisition and assessment for laparoscopic surgery.
Skill acquisition and assessment for laparoscopic surgery.
复制标题
腹腔镜手术的技能获取和评估。
DOI：
10.1001/archsurg.1997.01430260098021
复制
发表时间：
1997
影响因子：
--
通讯作者：
Raghu S. Savalgi
中科院分区：
文献类型：
--
作者：
James C. Rosser;L. Rosser;Raghu S. Savalgi
目标
描述一种通过客观评价提高腹腔镜手术技能的培训方法，以提供腹腔镜手术技术培训，并评估特定培训练习是否有助于获得腹腔镜手术技能。
设计
受训者（N = 150）被要求进行标准化的演习与不同的机械功能，和技能的获取确定的准确性和时间。在类似的技能培训之前和之后，对受训者进行腹腔镜下颅内缝合的能力进行了测试。
设置
培训班在教学医院和非教学医院举办。
参与者
委员会认证或符合委员会资格的外科医生。
主要观察指标
由受过训练的教员监督，并记录进行标准化演习所需的时间。
结果
在10次试验中，受训者在技能获得方面表现出稳定的提高（P <0.001）。与训练前相比，训练后的运动能力有显著改善（P <0.001）。
结论
三个标准化的腹腔镜演习已在150名受训者进行了测试，并证明了技能的增量收购，与提高性能在一个具有挑战性的和复杂的腹腔镜技能，腹腔镜手术。
OBJECTIVES
To describe a training method with objective evaluation to enhance laparoscopic surgical skills to provide training in laparoscopic suturing techniques and to assess whether specific training exercises were helpful in the attainment of intracorporeal suturing skills.
DESIGN
Trainees (N = 150) were asked to perform standardized drills with distinct mechanical features, and skill acquisition was determined by accuracy and timing. Trainees were tested for the ability to perform an intracorporeal laparoscopic suture before and after analogous skill training with the drills.
SETTING
The training courses were held in teaching and nonteaching hospitals.
PARTICIPANTS
Board-certified or board-eligible surgeons.
MAIN OUTCOME MEASURES
Supervision by trained instructors and documentation of the time required to perform standardized drills.
RESULTS
The trainees showed steady improvement in skill acquisition during 10 trials (P < .001). Significant (P < .001) improvement was noted for the performance of suturing after compared with before the drills.
CONCLUSION
Three standardized laparoscopic drills have been tested in 150 trainees and demonstrate the incremental acquisition of skills that correlate with improved performance in a challenging and complex laparoscopic skill, intracorporeal suturing.