Anastakis D J, Regehr G, Reznick R K, Cusimano M, Murnaghan J, Brown M, Hutchison C
Department of Surgery and the Centre for Research in Education, Faculty of Medicine, University of Toronto, Ontario, Canada.
Am J Surg. 1999 Feb;177(2):167-70. doi: 10.1016/s0002-9610(98)00327-4.
This study examines whether technical skills learned on a bench model are transferable to the human cadaver model.
Twenty-three first-year residents were randomly assigned to three groups receiving teaching on six procedures. For each procedure, one group received training on a cadaver model, one received training on a bench model, and one learned independently from a prepared text. Following training, all residents were assessed on their ability to perform the six procedures.
Repeated measures analysis of variance revealed a significant effect of training modality for both checklist scores (F(2,44) = 3.49, P <0.05) and global scores (F(2,44) = 7.48, P <0.01). Post-hoc tests indicated that both bench and cadaver training were superior to text learning and that bench and cadaver training were equivalent.
Training on a bench model transfers well to the human model, suggesting strong potential for transfer to the operating room.
本研究旨在探讨在实验台模型上所学的技术技能是否可转移至人体尸体模型。
23名一年级住院医师被随机分为三组,接受六种手术操作的教学。对于每种手术操作,一组在尸体模型上接受培训,一组在实验台模型上接受培训,一组通过阅读准备好的文本独立学习。培训结束后,对所有住院医师进行六种手术操作能力的评估。
重复测量方差分析显示,对于检查表评分(F(2,44) = 3.49,P <0.05)和整体评分(F(2,44) = 7.48,P <0.01),培训方式均有显著影响。事后检验表明,实验台模型培训和尸体模型培训均优于文本学习,且二者效果相当。
在实验台模型上的培训能很好地转移至人体模型,这表明其在转移至手术室方面具有很大潜力。