Division of General and Visceral Surgery, Department of Surgery-Campus Innenstadt, Ludwig-Maximilians University, Munich, Germany.
Dermatol Surg. 2011 Mar;37(3):325-30. doi: 10.1111/j.1524-4725.2011.01881.x. Epub 2011 Feb 22.
To evaluate a model used to impart advanced wound closure skills because available models do not meet the necessary requirements to a substantial degree.
Seventy-one residents were asked to evaluate a 75-minute-long skills course using cadaveric cattle digits to learn Z-plasty, V-Y-plasty, and oval-shaped rotational flaps. A short film and the course instructor demonstrated each technique first. A Likert rating scale ranging from 1 to 6 was used for questions in the survey given to the residents.
There was strong agreement among residents (1.65 ± 1.17 years of experience) that advanced wound closure training courses are necessary (5.73 ± 0.73), which corresponded to the residents' low level of knowledge and self-assessment of practical skills and present experience (2.84 ± 1.01). The course was evaluated with high acceptance, even though it was found to be demanding for the trainees (5.84 ± 0.40). This might also be related to the high rating of the model itself, which was found to be a suitable method for teaching advanced wound closure techniques (5.50 ± 0.71) that was easily comprehensible (5.73 ± 0.53).
Skills training courses for young trainees are warranted to impart advanced wound closure techniques. The curriculum using cattle digits presented here is recommended. The authors have indicated no significant interest with commercial supporters.
评估一种用于传授高级伤口闭合技术的模型，因为现有的模型在很大程度上无法满足必要的要求。
要求 71 名住院医师使用牛的尸体手指评估 75 分钟的技能课程，以学习 Z 成形术、V-Y 成形术和椭圆形旋转皮瓣。短片和课程讲师首先演示了每种技术。调查中向住院医师提出的问题使用了 1 到 6 的李克特量表进行评分。
经验丰富的住院医师（1.65±1.17 年）强烈认为需要高级伤口闭合培训课程（5.73±0.73），这与住院医师的低知识水平以及对实际技能和现有经验的自我评估相对应（2.84±1.01）。尽管该课程对学员来说要求很高（5.84±0.40），但仍得到了高度认可。这可能也与模型本身的高评分有关，该模型被认为是教授高级伤口闭合技术的合适方法（5.50±0.71），并且易于理解（5.73±0.53）。
有必要为年轻学员提供技能培训课程，以传授高级伤口闭合技术。这里推荐使用牛的尸体手指的课程。作者表示与商业支持者没有重大利益关系。
