Department of General, Vascular and Thoracic Surgery, Campus Benjamin Franklin, Charité University Medicine Berlin, Hindenburgdamm 30, 12200, Berlin, Germany.
Langenbecks Arch Surg. 2010 Mar;395(3):277-83. doi: 10.1007/s00423-009-0568-7. Epub 2009 Nov 19.
Surgical skills courses are becoming increasingly popular. This study focuses on their long-term effects.
Participants in a 1-week general and visceral surgery course were included. Exercises in conventional and laparoscopic surgery were conducted under tutor guidance. Eighteen months after the course at the earliest (18-90), all participants (n = 756) from 1999 to 2005 received a standardized questionnaire on the surgical training situation, the learning success, the implementation of acquired skills in routine clinical practice, and the value of skills courses.
We evaluated 459 of 756 participants (60.7%). The percentage of participants fully confident in their ability to suture a simple and a difficult anastomosis increased from 56.9% and 21.6% before to 93.5% and 59.3% after the course (p < 0.05). An improved surgical technique after the course was reported by 86.9%. Instrument handling changed after the course in 76.9%, and 68.1% stuck to this change. The evaluation showed that 89.5% wanted skill courses to become an integral part of surgical training.
Participants in a general and visceral surgery course profit from long-term modification and improvement of their surgical technique. The course is still rated positively many years later. A 1-week skills course in general and visceral surgery is an attractive module with long-term effects on surgical training.
外科技能课程越来越受欢迎。本研究关注的是它们的长期效果。
纳入参加为期 1 周的普通和内脏外科课程的参与者。在导师的指导下进行常规和腹腔镜手术练习。在课程结束后最早的 18 个月（18-90），从 1999 年到 2005 年，所有的参与者（n=756）都收到了一份关于手术培训情况、学习成功、获得的技能在常规临床实践中的实施情况以及技能课程价值的标准化问卷。
我们评估了 756 名参与者中的 459 名（60.7%）。参与者对自己简单和困难吻合术缝合能力的完全信心百分比从课程前的 56.9%和 21.6%增加到课程后的 93.5%和 59.3%（p<0.05）。86.9%的人报告说手术后手术技术有所提高。课程结束后，76.9%的人改变了器械处理方式，68.1%的人坚持了这一改变。评估显示，89.5%的人希望技能课程成为外科培训的一个组成部分。
参加普通和内脏外科课程的参与者从长期的手术技术修改和改进中受益。多年后，该课程仍受到高度评价。为期 1 周的普通和内脏外科技能课程是一个具有长期效果的有吸引力的模块，对外科培训有很大的帮助。
