Deutsch Ellen S
Division of Pediatric Otolaryngology, Alfred I. DuPont Hospital for Children, PO Box 269, Wilmington, DE 19899, USA.
Arch Otolaryngol Head Neck Surg. 2008 Jun;134(6):625-9. doi: 10.1001/archotol.134.6.625.
To evaluate the perceived value of aerodigestive endoscopy training using high-fidelity simulation.
Self-reported survey.
Pediatric tertiary care hospital.
Consecutive sample of otolaryngology residents and 1 fellow during the 2006-2007 academic year.
Foreign body aspiration and ingestion were simulated in a high-fidelity, computer-assisted infant simulation mannequin. Avoidance of complications and successful removal required teamwork and responsiveness to the mannequin's physiologic characteristics in addition to dexterity with instruments.
Postcourse 5-point Likert scale and subjective evaluation of perceived realism reported by participants.
Participant response was generally positive. Ratings were highest for training cognitive and psychomotor endoscopy skills, preventing and managing complications, and facilitating team process. Overall realism and appropriate "feel" showed opportunity for improvement.
Pediatric otolaryngology trainees perceive that high-fidelity patient simulation facilitates acquisition of aerodigestive endoscopy skills, especially in training cognitive and psychomotor endoscopy skills, preventing and managing complications, and facilitating team process.
评估使用高保真模拟进行气消化道内镜培训的感知价值。
自我报告调查。
儿科三级护理医院。
2006 - 2007学年耳鼻喉科住院医师及1名研究员的连续样本。
在高保真、计算机辅助婴儿模拟模型中模拟异物吸入和吞食。除了器械操作的灵活性外，避免并发症和成功取出异物还需要团队合作以及对模型生理特征的反应能力。
课程结束后参与者报告的5级李克特量表及对感知真实度的主观评价。
参与者的反应总体呈积极态度。在培训认知和操作内镜技能、预防和处理并发症以及促进团队协作方面的评分最高。整体真实度和适当的“感觉”显示有改进的空间。
儿科耳鼻喉科受训人员认为高保真患者模拟有助于气消化道内镜技能的掌握，尤其是在培训认知和操作内镜技能、预防和处理并发症以及促进团队协作方面。
