SAGES学习中心在引入新技术方面的价值。

Value of the SAGES Learning Center in introducing new technology.

作者信息

Hanly E J, Zand J, Bachman S L, Marohn M R, Talamini M A

机构信息

Department of Surgery, The Johns Hopkins University School of Medicine, 600 North Wolfe Street, Blalock 665, Baltimore, MD 21287-4665, USA.

出版信息

Surg Endosc. 2005 Apr;19(4):477-83. doi: 10.1007/s00464-004-8928-4. Epub 2005 Feb 10.

Abstract

BACKGROUND

The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) Learning Center is a group of educational "classrooms" designed to tutor meeting attendees on specific technology-intensive content areas. The objectives of the Robotics Station were to familiarize participants with basic laparoscopic skills as implemented with surgical robotic assistance and to help them explore the benefits and drawbacks of using robotics in their institutions.

METHODS

Sixty-six volunteer surgeon attendees of the 2003 SAGES meeting representing a diverse group of backgrounds and possessing varying levels of surgical experience were directed through a series of drills on two different surgical robots. Each participant was directed through a series of three drills that practiced surgically relevant skills. Participants were given feedback on their performance. They then completed a 12-question computer-based questionnaire that surveyed their personal demographic backgrounds, their impressions of robotic surgery, and their opinions regarding the learning center's utility in educating them about new technology.

RESULTS

Sixty-eight percent of participants had never used a surgical robot, and 89% had never used a robot clinically. Eighty-eight percent of respondents found one or both robots easier to use than they had expected, and 91% found that one or both robots made simple surgical tasks easier compared to standard laparoscopy. Sixty-four percent of participants stated that they were more likely to pursue purchase of a robotic system for use in their practice as a result of their exposure to robotics in the Learning Center. After completing the Robotics Station, 80% of surgeons believed that current surgical robots are of clinical benefit. However, 71% of participants stated that surgical robotic systems priced above $500,000 would not be financially viable in their practices.

CONCLUSION

The structured learning environment used in the SAGES Learning Center fostered among participants a positive attitude toward surgical robotics. The format of their exposure to this technology at the Robotics Station also enabled participants to gauge the potential financial value of surgical robots in clinical practice. The SAGES Learning Center Robotics Station succeeded in exposing surgeons to surgical robotics in a way that helped them assess the value of this technology for their individual practices and institutions.

摘要

背景

美国胃肠与内镜外科医师学会(SAGES)学习中心是一组教育“教室”,旨在就特定技术密集型内容领域对会议参与者进行辅导。机器人手术站的目标是使参与者熟悉在手术机器人辅助下实施的基本腹腔镜技能,并帮助他们探索在其机构中使用机器人技术的利弊。

方法

2003年SAGES会议的66名志愿外科医生参与者代表了不同背景且拥有不同手术经验水平,他们在两种不同的手术机器人上进行了一系列操作训练。每位参与者都要完成一系列三项练习手术相关技能的操作训练。参与者会得到关于其表现的反馈。然后他们完成一份基于计算机的12道题问卷,该问卷调查了他们的个人人口统计学背景、对机器人手术的印象以及他们对学习中心在教育他们了解新技术方面的效用的看法。

结果

68%的参与者从未使用过手术机器人,89%的参与者从未在临床中使用过机器人。88%的受访者发现其中一个或两个机器人比他们预期的更容易使用,91%的受访者发现与标准腹腔镜相比,其中一个或两个机器人使简单的手术任务更容易。64%的参与者表示,由于他们在学习中心接触了机器人技术,他们更有可能在自己的实践中购买机器人系统。完成机器人手术站的训练后,80%的外科医生认为当前的手术机器人具有临床益处。然而,71%的参与者表示,价格超过50万美元的手术机器人系统在他们的实践中在经济上不可行。

结论

SAGES学习中心采用的结构化学习环境在参与者中培养了对外科机器人技术的积极态度。他们在机器人手术站接触该技术的形式也使参与者能够评估手术机器人在临床实践中的潜在经济价值。SAGES学习中心机器人手术站成功地让外科医生接触到手术机器人技术,帮助他们评估这项技术对其个人实践和机构的价值。

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