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远程指导:一个时机已至的应用程序。

Telementoring: an application whose time has come.

作者信息

Rosser James C, Young Steven M, Klonsky Jonathan

机构信息

Department of Surgery, Beth Israel Medical Center, New York, NY, USA.

出版信息

Surg Endosc. 2007 Aug;21(8):1458-63. doi: 10.1007/s00464-007-9263-3. Epub 2007 May 5.

Abstract

BACKGROUND

Telementoring offers the possibility of making extended education oversight available on a cost-effective, large-scale basis. It expands the mentor/proctor pool and makes these educational assets more widely available to assist in protecting the public. However, it is an application that if haphazardly implemented rapidly losses its effectiveness and is more dangerous to the patient. Like all programs that can cite demonstrable outcome consistency, telementoring should be established on a foundation of sound training methodology. This article discusses the history of telementoring and where this modality stands today and outlines a validated methodology for successful telementoring missions.

METHODS

This algorithm includes preprocedural assessment and enhancement of laparoscopic surgical skills, establishment of a standardized approach to the procedure, tactical information deployment, telementoring simulation laboratories, and establishment of the doctor/patient relationship.

RESULTS

Telementoring can make cost-effective extended education oversight available on a large-scale basis.

DISCUSSION

Because of an overwhelming need for mentors/proctors and supporting evidence in the literature, telementoring is an application whose time has come.

摘要

背景

远程指导提供了以具有成本效益的大规模方式进行广泛教育监督的可能性。它扩大了指导者/监考者群体,并使这些教育资源更广泛地可用,以协助保护公众。然而,如果随意实施,它会迅速失去效力,对患者更具危险性。与所有能够证明结果一致性的项目一样,远程指导应建立在完善的培训方法基础之上。本文讨论了远程指导的历史及其当前状况,并概述了成功进行远程指导任务的经过验证的方法。

方法

该算法包括术前评估和腹腔镜手术技能提升、建立标准化手术方法、战术信息部署、远程指导模拟实验室以及医患关系的建立。

结果

远程指导可以大规模提供具有成本效益的广泛教育监督。

讨论

由于对指导者/监考者的迫切需求以及文献中的支持证据,远程指导是一个时机已到的应用。

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