Carter F J, Schijven M P, Aggarwal R, Grantcharov T, Francis N K, Hanna G B, Jakimowicz J J
The Cuschieri Skills Centre, Ninewells Hospital, University of Dundee, Dundee, Scotland, DD1 9SY.
Simul Healthc. 2006 Fall;1(3):171-9. doi: 10.1097/01.SIH.0000244452.43542.47.
The Work Group for Evaluation and Implementation of Simulators and Skills Training Programmes is a newly formed subgroup of the European Association of Endoscopic Surgeons (EAES). This work group undertook a review of validation evidence for surgical simulators and the resulting consensus is presented in this article. Using clinical guidelines criteria, the evidence for validation for 6 different simulators was rated and subsequently translated to a level of recommendation for each system. The simulators could be divided into 2 basic types; systems for laparoscopic general surgery and flexible gastrointestinal endoscopy. Selection of simulators for inclusion in this consensus was based on their availability and relatively widespread usage as of July 2004. While level 2 recommendations were achieved for a few systems, it was clear that there was an overall lack of published validation studies with rigorous experimental methodology. Since the consensus meeting, there have been a number of new articles, system upgrades and new devices available. The work group intends to update these consensus guidelines on a regular basis, with the resulting article available on the EAES website (http://www.eaes-eur.org).
模拟器与技能培训计划评估及实施工作组是欧洲内镜外科医生协会（EAES）新成立的一个小组。该工作组对手术模拟器的验证证据进行了审查，本文呈现了由此达成的共识。采用临床指南标准，对6种不同模拟器的验证证据进行了评级，并随后转化为针对每个系统的推荐等级。模拟器可分为2种基本类型：腹腔镜普通外科手术系统和柔性胃肠内镜系统。纳入本共识的模拟器选择基于其截至2004年7月的可用性和相对广泛的使用情况。虽然少数系统获得了2级推荐，但很明显，总体上缺乏采用严格实验方法的已发表验证研究。自共识会议以来，已有多篇新文章、系统升级和新设备问世。工作组打算定期更新这些共识指南，更新后的文章将发布在EAES网站（http://www.eaes-eur.org）上。
