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[模拟中心结构化腹腔镜培训的益处:住院医师观点调查]

[Interest of a structured laparoscopy training in a simulation center: survey of resident's point of view].

作者信息

Philippe A-C, Botchorishvili R, Pereira B, Canis M, Bourdel N, Mage G, Pouly J-L, Houlle C, Jardon K, Rabischong B

机构信息

Service de gynécologie-obstétrique et reproduction humaine, CHU Estaing/CHRU de Clermont-Ferrand, 1, place Lucie-Aubrac, 63100 Clermont-Ferrand, France.

出版信息

J Gynecol Obstet Biol Reprod (Paris). 2013 May;42(3):238-45. doi: 10.1016/j.jgyn.2013.01.002. Epub 2013 Mar 7.

Abstract

OBJECTIVE

Assess residents satisfaction within their participation to a short and structured training to laparoscopy, gathering theoretical and practical issues.

METHODS

This course was divided in two periods of 3days including an individual prospective evaluation. For each period, the residents have answered to three questionnaires trying to evaluate their experience in laparoscopy and their short term and medium term satisfaction.

RESULTS

Three hundred residents from different French university hospitals have been involved in this study. After 4years, half of them were not satisfied with their chirurgical studies. Thirty-seven percent of them never attended to any surgical procedure as main operator. The training course has answered to their expectation for 95% of the residents and 85% said they now feel more confident about laparoscopy then before. According to 76% of them, it should be a compulsory and systematic training course and for 75%, they should be tested regarding their laparoscopy skills level during the resident studies period. The training on animals is the more efficient for 86% of them.

CONCLUSIONS

Due to the increasing number of residents and to the legal time for rest, the time spent in the operative room has decreased. People also do not accept easily the training made on true patients. Intensive and tested training are useful and answer to residents needs. They could be systematically integrated in their global curriculum.

摘要

目的

评估住院医师参与短期结构化腹腔镜培训(涵盖理论和实践问题)的满意度。

方法

本课程分为两个为期3天的阶段,包括个体前瞻性评估。在每个阶段,住院医师回答了三份问卷,试图评估他们在腹腔镜方面的经验以及短期和中期满意度。

结果

来自法国不同大学医院的300名住院医师参与了本研究。4年后,其中一半人对他们的外科学习不满意。37%的人从未作为主刀医生参与过任何外科手术。培训课程满足了95%住院医师的期望,85%的人表示他们现在对腹腔镜比以前更有信心。76%的人认为这应该是一门必修的系统培训课程,75%的人认为在住院医师学习期间应该对他们的腹腔镜技能水平进行测试。86%的人认为动物训练效果最佳。

结论

由于住院医师数量增加以及法定休息时间,在手术室花费的时间减少了。人们也不容易接受在真实患者身上进行的培训。强化且经过测试的培训是有用的,满足了住院医师的需求。它们可以系统地纳入他们的整体课程中。

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