Department of Surgery and Cancer, Imperial College London, 10th floor, QEQM Building, St Mary’s Hospital, South Wharf Road, London W2 1NY, UK.
Med Teach. 2012;34(12):e827-32. doi: 10.3109/0142159X.2012.714878. Epub 2012 Aug 30.
Traditional laboratory-based skills training provides mass training that does not match clinical experience and is not tailored to individual needs. This compromises the transfer and retention of skills into clinical practice.
To demonstrate the feasibility of integrating a centralised programme of laboratory-based surgical skills training into a higher surgical training programme and to evaluate its effectiveness and acceptability to trainees.
Laboratory-based skills training was provided at a central site, delivered by consultants and tailored to the trainees' level of clinical experience. Each trainee was expected to attend one session a month for 11 months a year. Evaluation was conducted through attendance records, structured evaluations by participants, independent qualitative questionnaires and web interviews.
Forty-two specialist surgical trainees in the North West London higher surgical training programme participated in laboratory-based skills sessions delivered by 19 consultants over a period of two years. The average attendance was 70.5% for trainees and 100% for trainers. All sessions were rated by trainees as well-organised and useful with an average score of more than 4 out of 5. Trainees felt that the Skills Programme can complement surgical training by allowing practice under expert supervision in a safe environment.
Centralising laboratory-based skills training and integrating it into a clinical programme is feasible and acceptable and represents a paradigm shift in surgical training. Involvement of trainees in designing the content is valuable.
传统的基于实验室的技能培训提供了大规模的培训，无法与临床经验相匹配，也无法满足个人需求。这会影响技能在临床实践中的转移和保留。
展示将基于实验室的集中外科技能培训计划纳入高级外科培训计划的可行性，并评估其对学员的效果和可接受性。
在一个中心地点提供基于实验室的技能培训，由顾问提供并根据学员的临床经验水平进行调整。预计每位学员每年 11 个月每月参加一次课程。通过出勤率记录、参与者的结构化评估、独立的定性问卷和网络访谈进行评估。
在北伦敦高级外科培训计划中，有 42 名专科外科学员参加了由 19 名顾问提供的基于实验室的技能课程。学员的平均出勤率为 70.5%，培训师的出勤率为 100%。所有课程均被学员评为组织良好且有用，平均得分超过 4 分（满分 5 分）。学员们认为技能课程可以通过在安全的环境中接受专家监督下的实践来补充外科培训。
集中化基于实验室的技能培训并将其纳入临床计划是可行且可接受的，代表着外科培训的范式转变。让学员参与设计内容是有价值的。
