Ritter E Matt, Scott Daniel J
National Capital Area Medical Simulation Center, Norman M. Rich Department of Surgery, Uniformed Services University, Bethesda, Maryland 20814, USA.
Surg Innov. 2007 Jun;14(2):107-12. doi: 10.1177/1553350607302329.
Currently, no optimal curriculum exists for the Fundamentals of Laparoscopic Surgery (FLS) manual skills training program. The objective was to create a proficiency-based training curriculum that would allow both successful completion of the FLS manual skills exam and improved performance in the operating room. Two experienced laparoscopic surgeons performed 5 consecutive repetitions of all 5 FLS tasks. The mean performance times for both subjects were determined. Error parameters for each task were also recorded and used to establish a maximum allowable error parameter for each task. These data were used to create both error- and time-based proficiency levels for each task based on the importance of the task and the amount of resources consumed when practicing the task. This type of objective proficiency level was determined for each of the 5 FLS tasks. We have developed a proficiency-based training curriculum for the psychomotor skills portion of FLS. Work is under way to evaluate and validate this curricular design.
目前，腹腔镜手术基础（FLS）技能培训项目尚无最佳课程。目标是创建一个基于熟练程度的培训课程，既能让学员成功通过FLS技能考试，又能提高其在手术室的操作表现。两位经验丰富的腹腔镜外科医生对所有5项FLS任务连续进行了5次重复操作。确定了两位受试者的平均操作时间。还记录了每项任务的错误参数，并用于为每项任务建立最大允许错误参数。这些数据用于根据任务的重要性和练习任务时消耗的资源量，为每项任务创建基于错误和时间的熟练程度水平。针对5项FLS任务中的每一项都确定了这种客观的熟练程度水平。我们已经为FLS的心理运动技能部分制定了一个基于熟练程度的培训课程。目前正在对该课程设计进行评估和验证。
