Cope Daron H, Fenton-Lee Douglas
Department of Surgery, St Vincent's Hospital, Sydney, New South Wales, Australia.
ANZ J Surg. 2008 Apr;78(4):291-6. doi: 10.1111/j.1445-2197.2007.04440.x.
Selection for surgical training in Australia is currently based on assessment of a structured curriculum vitae, referral reports from selected clinicians and an interview. The formal assessment of laparoscopic psychomotor skill and ability to attain skills is not currently a prerequisite for selection. The aim of this study was to assess the innate psychomotor skills of interns and also to compare interns with an interest in pursuing a surgical career to interns with those with no interest in pursuing a surgical career. Twenty-two interns were given the opportunity to carry out tasks on the Minimal Invasive Surgical Trainer, Virtual Reality (Mentice, Gothenburg, Sweden) Simulator. The candidates were required to complete six tasks, repeated six times each. Scores for each task were calculated objectively by the simulator software. Demographic data were similar between the two groups. Although some candidates who were interested in pursuing a surgical career performed poorly on the simulator, there was no significant difference when comparing the two groups. The Minimal Invasive Surgical Trainer, Virtual Reality (Mentice) Simulator provides an objective and comparable assessment of laparoscopic psychomotor skills. We can conclude that interns have varying inherent ability as judged by the simulator and this does not seem to have an influence on their career selection. There was no significant difference in the scores between the two groups. Interns with and without inherent abilities have aspirations to pursue surgical careers and their aptitude does not seem to influence this decision. Surgical colleges could use psychomotor ability assessments to recruit candidates to pursue a career in surgery. Trainees needing closer monitoring and additional training could be identified early and guided to achieve competency.
目前，澳大利亚外科培训的选拔基于对结构化简历的评估、选定临床医生的推荐报告以及面试。目前，腹腔镜操作技能和技能掌握能力的正式评估并非选拔的先决条件。本研究的目的是评估实习生的先天操作技能，并将有志于从事外科职业的实习生与无意从事外科职业的实习生进行比较。22名实习生有机会在虚拟现实微创外科训练器（Mentice，瑞典哥德堡）模拟器上执行任务。候选人需要完成六项任务，每项任务重复六次。每项任务的分数由模拟器软件客观计算得出。两组之间的人口统计学数据相似。尽管一些有志于从事外科职业的候选人在模拟器上表现不佳，但两组比较时没有显著差异。虚拟现实微创外科训练器（Mentice）模拟器提供了对腹腔镜操作技能的客观且可比的评估。我们可以得出结论，根据模拟器判断，实习生具有不同的内在能力，而这似乎对他们的职业选择没有影响。两组之间的分数没有显著差异。有或没有内在能力的实习生都有志于从事外科职业，他们的能力似乎并不影响这一决定。外科医学院可以利用操作技能评估来招募有志于从事外科职业的候选人。可以尽早识别出需要密切监测和额外培训的学员，并引导他们达到能力要求。
