PRECLINICAL TRAINING IN ENDOSCOPIC DIAGNOSIS OF CANCER

该项目的一个目标是评估纳入一个 支气管镜检查中五个录像带程序的临床前观看会议 将解剖学和病理学纳入医师的支气管镜培训阶段。 录像带节目包括一个系统的方法，内窥镜解剖 和内窥镜病理学的例子，应该有助于发展 视觉辨别能力。 70名住院医师/研究员， 大学医学中心参加了这项随机研究。 的 居民被分为两组--对照组， 观察这些项目，而那些确实观察了这些项目的测试组， 在第十次支气管镜检查之前 初步统计分析显示， 表明这些项目对测试组有积极的影响。 录像带节目，描述内镜特征相关的 慢性刺激，癌症相关疾病，和早期癌的 食道已经产生。 他们的目的是教开始 食管镜检查师的内镜特征，可能有助于检测和 早期食管癌的诊断 癌症的早期检测 希望能带来更有效的治疗和降低死亡率 率 到目前为止，这两个项目已经获得了六个国家级奖项， 医学教育和技术价值。 四个录像带方案已进入最后完成阶段。 两 解剖学中的程序演示了一种识别和命名 右肺和左肺的亚段支气管， 这些发现可以很容易地与它们各自的解剖结构相关联， 地点 另外两个项目包括一系列支气管镜病例研究 旨在提供解剖学自我评估的示例， 病理学的开始或实践支气管镜，其中之一， 可用于前后测试应用。 （五）

One goal of this project is to assess the effects of incorporating a preclinical viewing session of five videotape programs in bronchoscopic anatomy and pathology into the physicians' bronchoscopic training phase. The videotape programs include a systematic approach to endoscopic anatomy and examples of endoscopic pathology that should facilitate the development of visual discrimination skills. Seventy residents/fellows from ten University Medical Centers have taken part in this randomized study. The residents were divided into two groups--the control groups, who did not observe the programs, and the test group who did observe the programs, prior to their tenth bronchoscopy. Preliminary statistical analysis has indicated a positive effect of these programs on the test group. The videotape programs that describe endoscopic features associated with chronic irritation, cancer-related conditions, and early carcinoma of the esophagus have been produced. They are designed to teach beginning esophagoscopists the endocopic features that may help in the detection and diagnosis of early esophageal carcinoma. Early detection of carcinoma should hopefully lead to more effective treatment and a reduced mortality rate. Thus far, these two programs have won six national awards for medical, educational, and technical value. Four videotape programs are in the final stages of completion. Two programs in anatomy demonstrate a method for recognizing and naming sub-segmental bronchi of the right and left lung, so that pathological findings can be readily correlated with their respective anatomical locations. Two other programs include a series of bronchoscopic case study examples that are designed to provide a self-assessment in anatomy and pathology for the beginning or practicing bronchoscopist, and one of these could be used for pre-post test application. (5)