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经验教训:泌尿科受训者对基于技能实验室的培训计划的终端用户评估。

Lessons learned: end-user assessment of a skills laboratory based training programme for urology trainees.

机构信息

Department of Urology, Geelong Hospital and Deakin University, Geelong, Australia.

出版信息

BJU Int. 2011 Apr;107 Suppl 3:47-51. doi: 10.1111/j.1464-410X.2011.10049.x.

Abstract

OBJECTIVES

• To evaluate the benefit of a skills laboratory based training programme to urology resident training by end-user assessment.

SUBJECTS AND METHODS

• All participants in a urological skills workshop programme conducted at the Royal Australasian College of Surgeons in Melbourne, Australia, between 2004 and 2009 were included. • This was a retrospective review using a structured questionnaire. • Topics regarding course organization, content, delivery and relevance to clinical practice were examined. • Free-text entry responses allowed participants to elaborate on specific points as appropriate.

RESULTS

• During the study period, 35 individual workshops were conducted. • In all, 41 of 43 eligible participants completed the survey for a response rate of 95%. • Overall, 26 (63%) found the experience valuable, interesting and useful. • Of the remainder (37%), four (10%) found it interesting but not useful to training, five (12%) found it useful and a good idea but not well conducted, and two (5%) found it neither interesting nor useful for training. • Workshop success was intimately related to the quality of the simulator or model used: highly rated workshops consistently used models that were 'realistic' and 'life-like', while poorly rated workshops were associated with models considered 'impossible' and 'not tested'.

CONCLUSIONS

• The use of skills laboratory based workshops can enhance the surgical training of urology residents, at least as assessed by the end-users themselves. • However, closer attention to the selection and use of properly tested and validated models may maximize the educational opportunity. • Translational research prospectively examining the impact of workshops on live patient surgery and outcomes is still required.

摘要

目的

通过最终用户评估,评价基于技能实验室的培训计划对泌尿科住院医师培训的益处。

对象和方法

纳入 2004 年至 2009 年间在澳大利亚墨尔本皇家澳大利亚外科医生学院进行的泌尿科技能研讨会项目的所有参与者。这是一项回顾性研究,使用结构化问卷。检查了课程组织、内容、交付和与临床实践的相关性等主题。允许参与者在适当的情况下在自由文本中详细说明具体要点。

结果

在研究期间,共进行了 35 次单独的研讨会。共有 43 名符合条件的参与者中的 41 名完成了调查,应答率为 95%。总体而言,26 名(63%)参与者认为该体验有价值、有趣且有用。其余 37%的参与者中,有 4 名(10%)认为它有趣但对培训无用,5 名(12%)认为它有用且是个好主意但实施不佳,2 名(5%)认为它对培训既不有趣也无用。研讨会的成功与所使用的模拟器或模型的质量密切相关:评价高的研讨会始终使用“逼真”和“逼真”的模型,而评价低的研讨会则与被认为“不切实际”和“未经测试”的模型相关。

结论

基于技能实验室的研讨会的使用可以增强泌尿科住院医师的外科培训,至少是最终用户自己评估的结果。然而,更密切地关注经过适当测试和验证的模型的选择和使用可能会最大限度地提高教育机会。仍需要前瞻性研究研讨会对实际患者手术和结果的影响。

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