Assessing the Effectiveness of Surgical Skills Laboratories: A National Survey
Assessing the Effectiveness of Surgical Skills Laboratories: A National Survey
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评估手术技能实验室的有效性：全国调查
DOI：
10.1097/sih.0b013e318276306e
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
D. Smink
中科院分区：
文献类型：
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作者：
Oliver A. Varban;A. Ardestani;S. Peyre;D. Smink
外科技能实验室在外科住院医师培训中得到了广泛的应用。虽然模拟器和技能实验室的可获得性已经扩大，但人们对它们的使用和对住院医师培训的影响知之甚少。方法一份由18个问题组成的在线调查被分发给外科项目主任协会的所有成员。这项调查涉及外科技能实验室的资金、模拟器的类型、课程、评估工具以及对成功实施技能实验室的看法。对从完成的调查中获得的数据进行统计分析。结果本次调查共邀请248个项目进行问卷调查，共获得81份回复，回复率为33%。在做出回应的项目中，大多数项目要求居民使用技能实验室的时间(76%)，大多数项目提供正式课程(63%)。很少有项目需要在进入手术室之前证明熟练程度(16%)，只有55%的应答者认为自实施技能实验室以来，住院医生的整体术中技能有所提高。受访者认为，与其他所有年的外科培训相比，实习生从技能实验室获得的好处最多(P<；0.001)。教师的参与通常被认为是成功实施外科技能实验室的最重要因素，而不考虑项目的特点。结论：在回应调查的外科实习计划中，大多数计划安排住院医生使用技能实验室的时间，并且大多数使用课程。接受调查的人表示，实习生受益最多，而常住居民受益最少。他们还认为，教师的参与是成功实施技能实验室的最重要方面。
Introduction Surgical skills laboratories have gained widespread use in surgery residency training. Although the availability of simulators and skills laboratories has expanded, little is known about their use and effect on residency training. Methods An online survey consisting of 18 questions was distributed to all members of the Association of Program Directors in Surgery. The survey addressed surgical skills laboratory funding, types of simulators, curricula, tools for evaluation, and opinions on successful implementation of a skills laboratory. Statistical analysis was performed on data obtained from completed surveys. Results A total of 248 programs were invited to respond to the survey, and 81 responses were obtained (33% response rate). Among programs that responded, most mandate time for residents to use their skills laboratory (76%), and most offer a formal curriculum (63%). Few programs require demonstrated proficiency before participating in the operating room (16%), and only 55% of responders believed that their resident’s overall intraoperative technical skills had improved since the implementation of their skills laboratory. Respondents believed that interns derive the most benefit from their skills laboratory when compared with all other years of surgical training (P < 0.001). Faculty participation was most commonly considered as the most important factor for successful implementation of a surgical skills laboratory, regardless of program characteristics. Conclusions Among surgical residency programs that responded to the survey, most programs schedule time for residents to use a skills laboratory, and most use a curriculum. Those surveyed report that interns derive the most benefit, whereas chief residents derive the least. They also believe that faculty participation is the most important aspect to successful implementation of a skills laboratory.