Banks Erika, Pardanani Setul, King Mary, Chudnoff Scott, Damus Karla, Freda Margaret Comerford
Department of Obstetrics and Gynecology and Women's Health Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY, USA.
Am J Obstet Gynecol. 2006 Nov;195(5):1463-7. doi: 10.1016/j.ajog.2006.05.041. Epub 2006 Jul 17.
This study was undertaken to assess whether a surgical skills laboratory improves residents' knowledge and performance of episiotomy repair.
Twenty-four first- and second-year residents were randomly assigned to either a surgical skills laboratory on episiotomy repair or traditional teaching alone. Pre- and posttests assessed basic knowledge. Blinded attending physicians assessed performance, evaluating residents on second-degree laceration/episiotomy repairs in the clinical setting with 3 validated tools: a task-specific checklist, global rating scale, and a pass-fail grade.
Postgraduate year 1 (PGY-1) residents participating in the laboratory scored significantly better on all 3 surgical assessment tools: the checklist, the global score, and the pass/fail analysis. All the residents who had the teaching laboratory demonstrated significant improvements on knowledge and the skills checklist. PGY-2 residents did not benefit as much as PGY-1 residents.
A surgical skills laboratory improved residents' knowledge and performance in the clinical setting. Improvement was greatest for PGY-1 residents.
本研究旨在评估手术技能实验室是否能提高住院医师会阴切开术修复的知识水平和操作能力。
24名一年级和二年级住院医师被随机分配至会阴切开术修复手术技能实验室组或仅接受传统教学组。通过前后测试评估基础知识。由不知情的主治医师评估操作能力，使用3种经过验证的工具在临床环境中对住院医师的二度裂伤/会阴切开术修复进行评估：特定任务检查表、整体评分量表和及格/不及格评分。
参与实验室培训的一年级住院医师在所有3种手术评估工具上的得分均显著更高：检查表、整体评分和及格/不及格分析。所有接受教学实验室培训的住院医师在知识和技能检查表上均有显著提高。二年级住院医师受益程度不如一年级住院医师。
手术技能实验室提高了住院医师在临床环境中的知识水平和操作能力。一年级住院医师的提高最为显著。
