基于运动技能训练的基础关节镜课程。

A basic arthroscopy course based on motor skill training.

机构信息

Department of Family Medicine and Clinical Skills Laboratory, Marmara University School of Medicine, Istanbul, Turkey.

出版信息

Knee Surg Sports Traumatol Arthrosc. 2010 Oct;18(10):1395-9. doi: 10.1007/s00167-009-0994-7. Epub 2009 Dec 10.

Abstract

Aim of this study is to introduce, evaluate, and propose a basic arthroscopy training course with interactive methods as using bovine knees, joint models but mainly focusing on practices with motor skill-learning devices. This study presents the results of a skill training program which is based on "motor skill training" theory and using "bovine knees" to simulate a specific task as arthroscopy both in education and evaluation. The participants gave feedback regarding their expectations, fulfillment, and self-evaluation on the degree of their improvement levels, after which their skills were evaluated by an expert while they performed the arthroscopic procedure. During this evaluation of the task, a four-dimensional checklist which was prepared previously by the consensus of three experts was used, and a global grading of each rater was added at the end of the checklist. In this 2-day course, small group teaching sessions are integrated with active and experiential learning methods consisting of short presentations by the educators, demonstrations using joint models and audio-visual teaching material, and significant continuous feedback by the teachers during the proceedings. Participants' expectations and post-course feedback results were obtained using a brief questionnaire which involved mostly open-ended questions. The self-rating of "own basic diagnostic arthroscopy skill" on a scale of 0-10 was completed by the participants both previous to and following the course to establish a student-centered learning environment. Overall rating of the course was asked on a 1-5 (poor-excellent) Likert scale. The questioning of the participants who took part in the course during the last five terms involved a 100% feedback. The overall rating of the course was 4.36 ± 0.47 on the 1-5 scale. The majority of the participants (90%) mentioned that the course met their expectations. The most beneficial activities were accepted to be the arthroscopic procedure applications on bovine knee, repetition of the manipulations under the supervision of the trainers, continuous feedback by experienced staff, and chance for immediate correction during the procedures (35/64). Pre- and post-course self-ratings of the participants inquiring about their ability to perform an arthroscopy alone showed significant improvement (4.2 vs. 7.7 P = 0.000, paired samples t test). All participants were found to be competent in the evaluation of their diagnostic arthroscopy skills on bovine knees. To design a skill teaching course based on the needs of the trainees, focusing on basic motor skill training exercises, and using bovine knee as a simulator is a safe, inexpensive, humanistic, and replicable method that proves a foundation for basic arthroscopic skills learning prior to patient encounter.

摘要

本研究旨在介绍、评估并提出一种基本的关节镜训练课程,采用互动方法,如使用牛膝关节、关节模型,但主要侧重于使用运动技能学习设备进行实践。本研究介绍了一项技能培训计划的结果,该计划基于“运动技能培训”理论,并使用“牛膝关节”模拟关节镜检查中的特定任务,既用于教育也用于评估。参与者在完成关节镜检查程序后,对他们的期望、实现情况以及自我评估进行了反馈,评估他们的技能水平提高程度,然后由专家对他们的技能进行评估。在对该任务的评估过程中,使用了由三位专家共识预先准备的一份四维检查表,并且在检查表的最后添加了每位评估者的总体评分。在为期两天的课程中,小团体教学环节与积极和体验式学习方法相结合,包括教育者的简短演讲、使用关节模型和视听教学材料进行演示,以及教师在整个过程中的重要持续反馈。参与者的期望和课程结束后的反馈结果是通过一份简短的问卷获得的,该问卷主要涉及开放式问题。参与者在课程之前和之后都使用 0-10 的量表完成了“自己基本诊断性关节镜技能”的自我评分,以建立以学生为中心的学习环境。课程的总体评价采用 1-5(差-优)李克特量表。在过去五个学期参加课程的参与者被询问对课程的总体评价。课程的总体评分为 4.36±0.47。大多数参与者(90%)表示该课程满足了他们的期望。最有益的活动被认为是在牛膝关节上进行关节镜手术应用、在培训师的监督下重复操作、经验丰富的工作人员提供持续反馈以及在手术过程中立即纠正的机会(35/64)。询问他们独自进行关节镜检查能力的参与者的课前和课后自我评分显示出显著改善(4.2 与 7.7,P=0.000,配对样本 t 检验)。所有参与者都被认为能够胜任对牛膝关节进行诊断性关节镜检查技能的评估。根据学员的需求设计基于基本运动技能训练的技能教学课程,并使用牛膝关节作为模拟器,是一种安全、经济、人性化且可复制的方法,为在接触患者之前学习基本关节镜技能奠定了基础。

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