一种用于客观测量住院医师腹腔镜操作能力的腹腔镜模拟器工具。
A laparoscopic simulator tool for objective measurement of residents' laparoscopic ability.
作者信息
Bell Rebecca, Maseelall Priya, Fanning James, Fenton Bradford, Flora Robert
机构信息
Department of Obstetrics and Gynecology, Summa Health System, Northeastern Ohio Universities College of medciine, Akron, OH 44309, USA.
出版信息
JSLS. 2007 Oct-Dec;11(4):470-3.
OBJECTIVE
We sought to develop an objective measurement of residents' laparoscopic ability by using a laparoscopic simulator assessment tool.
METHODS
An inexpensive laparoscopic simulator was developed. Three laparoscopic assessment procedures were created: 1) bead/pom-pom drop, 2) checkerboard drill, and 3) bead manipulation. Two minimally invasive surgeons and 8 PGY 3/4 and 15 PGY 1 residents were timed performing the 3 procedures. Ten of the PGY 1 residents were retested at the end of their PGY 1 year.
RESULTS
The minimally invasive surgeons completed the laparoscopic drills in approximately half the time of the PGY 3/4 (P=0.02), and PGY 3/4 were 60% faster than PGY 1 (P=0.01). PGY 1 completed the drills in half the time at the end of the PGY 1 year (P=0.005). As an objective measurement of residents' laparoscopic surgery competency, by the completion of the academic year, all PGY 1 residents must be able to complete the drills as fast as or faster than the original PGY 3/4 times.
CONCLUSION
We developed an inexpensive, objective, simple laparoscopic simulator assessment tool for measurement of residents' laparoscopic ability.
目的
我们试图通过使用腹腔镜模拟器评估工具来开发一种对住院医师腹腔镜操作能力的客观测量方法。
方法
开发了一种低成本的腹腔镜模拟器。创建了三种腹腔镜评估程序：1）珠子/绒球掉落，2）棋盘训练，3）珠子操作。记录两名微创外科医生以及8名PGY 3/4住院医师和15名PGY 1住院医师完成这三种程序的时间。10名PGY 1住院医师在PGY 1学年结束时进行了重新测试。
结果
微创外科医生完成腹腔镜训练的时间约为PGY 3/4住院医师的一半（P = 0.02），PGY 3/4住院医师比PGY 1住院医师快60%（P = 0.01）。PGY 1住院医师在PGY 1学年结束时完成训练的时间减半（P = 0.005）。作为对住院医师腹腔镜手术能力的客观测量，到学年结束时，所有PGY 1住院医师必须能够以与原来的PGY 3/4住院医师相同或更快的速度完成训练。
结论
我们开发了一种低成本、客观、简单的腹腔镜模拟器评估工具，用于测量住院医师的腹腔镜操作能力。
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