Exploration of an effective training system for the diagnosis of pancreatobiliary diseases with EUS: A prospective study.
Exploration of an effective training system for the diagnosis of pancreatobiliary diseases with EUS: A prospective study.
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探索超声内镜诊断胰胆疾病的有效培训系统：一项前瞻性研究。
DOI：
10.4103/eus.eus_47_20
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发表时间：
2020-09
影响因子：
4.5
通讯作者：
Hou X
中科院分区：
文献类型：
--
作者：
Han C;Nie C;Shen X;Xu T;Liu J;Ding Z;Hou X
有关 EUS 的多阶段培训计划的数据有限。我们的目的是探索一种有效的超声内镜诊断胰胆疾病的培训系统。来自 9 个机构的 9 名 EUS 经验较少的高级内窥镜实习生 (AET) 被招募。培训体系由胆胰标准扫描、解剖影像知识、模拟器、动手操作、纠错、病例分析等多阶段、多种教学方式组成，历时12个月。使用 EUS 技能评估工具评估技术和认知技能的评分。训练后，径向（4.16±0.21 vs. 1.46±0.16，P < 0.01）和线性（4.43±0.20 vs. 1.63±0.23，P < 0.01）扫描的总体得分显着提高。与其他站相比，AET 更容易了解主肺窗/纵隔站 (P = 0023)。训练后十二指肠降部的扫描似乎改善最慢（P = 0.0072），表明十二指肠降部可能更困难，应该成为训练的重点。每种教学方式都提高了EUS的能力，尤其是案例分析和动手操作。尽管 AET 最初有经验，但在培训后仍达到了同等的 EUS 能力。通过事后调查问卷发现，所有AET都对培训体系表示非常满意，并且当独立进行EUS时，他们的信心大大增强。目前的多阶段、多方法的培训体系在EUS的认知和技术能力方面表现出了高效的表现。十二指肠降部扫描对于初学者来说有一定难度，应作为重点训练。
There are limited data on multistage-based training programs focused on EUS. We aimed to explore an effective training system for diagnosing pancreaticobiliary diseases with EUS. Nine advanced endoscopy trainees (AETs) with less EUS experience from nine institutions were recruited. The training system consisted of multiple stages and multi-teaching methods, including biliopancreatic standard scanning, anatomy and imaging knowledge, simulator, hands-on operations, error correction, and case analysis over a 12-month training period. Grading for technical and cognitive skills was assessed using The EUS Skills Assessment Tool. After training, the overall scores for radial (4.16 ± 0.21 vs. 1.46 ± 0.16, P < 0.01) and linear (4.43 ± 0.20 vs. 1.63 ± 0.23, P < 0.01) scanning were significantly improved. The aortopulmonary window/mediastinum station can be learned more easily by AETs compared with other stations (P = 0023). The scanning of the descending part of the duodenum seemed to improve the slowest after training (P = 0.0072), indicating that the descending part of the duodenum can be more difficult and should be the focus of training. Every teaching method heightened EUS competence, especially case analysis and hands-on operations. AETs achieved equivalent EUS competence after training despite their initial experience. Through a poststudy questionnaire, it was found that all AETs strongly agreed they were satisfied with the training system, and their confidence was greatly enhanced when EUS was performed independently. The current multistage and multi-methods training system showed efficient performance in the cognitive and technical competence of EUS. Descending part of duodenum scanning was difficult for beginners and should be the focus of training.
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影响因子：
1.6
作者：
Han C;Lin R;Shi H;Liu J;Qian W;Ding Z;Hou X
通讯作者：
Hou X
影响因子：
2.9
作者：
Kushnir, Vladimir M.;Wani, Sachin B.;Azar, Riad R.
通讯作者：
Azar, Riad R.
影响因子：
2
作者：
Yamamoto S;Nishida T;Kato M;Inoue T;Hayashi Y;Kondo J;Akasaka T;Yamada T;Shinzaki S;Iijima H;Tsujii M;Takehara T
通讯作者：
Takehara T
影响因子：
2.6
作者：
Gonzalez, J. M.;Cohen, J.;Matthes, K.
通讯作者：
Matthes, K.
超声内镜引导下细针抽吸在肿块性病变诊断中的作用
影响因子：
2.7
作者：
Han, Chaoqun;Lin, Rong;Hou, Xiaohua
通讯作者：
Hou, Xiaohua