Department of Urology, Mayo Clinic, Arizona, Phoenix, AZ, USA.
Simul Healthc. 2011 Dec;6(6):352-5. doi: 10.1097/SIH.0b013e3182211096.
With the explosion of endoscopic techniques in urology as well as the increasing work restrictions with resident duty hours, training programs are faced with the challenges of how to adequately train residents while still being proficient and safe in the operating room. Surgical simulation with models is an excellent tool to help bridge the gap between practice and experience and allow residents to learn basic skills in a low stress environment that can be later transferred to the operating room.
We present a high-fidelity endoscopic boar bladder model for first-year urology resident training in preparation for real-time experience in the operating room.
The boar bladder model held up for the residents to complete six separate tasks. In each of the six assigned tasks, both residents had a percent improvement ranging from 13% to 97% when comparing an average of the first attempts with the final attempt.
The novel simulation model we describe demonstrates is a high-fidelity tissue surrogate that can be used for simulation training for improvement in core urologic skills by novice residents. This model may be a useful tool in documenting proficiency-based competence of cystoscopic skills.
随着泌尿外科内镜技术的爆炸式发展以及住院医师工作时间限制的增加，培训计划面临着如何在手术室中保持熟练和安全的同时，为住院医师提供充分培训的挑战。使用模型进行手术模拟是一种极好的工具，可以帮助弥合实践与经验之间的差距，让住院医师在低压力环境中学习基本技能，然后将这些技能转移到手术室中。
我们为第一年泌尿科住院医师培训提供了一种高保真内镜猪膀胱模型，为实时手术室体验做准备。
该猪膀胱模型可让住院医师完成六个独立任务。在六个指定任务中的每一个任务中，两名住院医师在比较第一次尝试的平均值与最后一次尝试时，都有 13%至 97%的百分比提高。
我们描述的新颖模拟模型是一种高保真组织替代品，可用于模拟培训，提高新手住院医师的核心泌尿科技能。该模型可能是记录基于熟练程度的膀胱镜技能能力的有用工具。
