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[哥伦比亚使用远程模拟的腹腔镜手术基础:一种有效的远程学习教育工具]

[Fundamentals of laparoscopic surgery in Colombia using telesimulation: an effective educational tool for distance learning].

作者信息

Henao Óscar, Escallón Jaime, Green Jessica, Farcas Mónica, Sierra Juan Manuel, Sánchez William, Okrainec Allan

机构信息

Division de Surgery, Toronto Western Hospital, University Health Network, Toronto, Ontario, Canadá.

出版信息

Biomedica. 2013 Jan-Mar;33(1):107-14. doi: 10.1590/S0120-41572013000100013.

DOI:10.1590/S0120-41572013000100013
PMID:23715313
Abstract

INTRODUCTION

The Fundamentals of Laparoscopic Surgery program is an educational program developed by the Society of American Gastrointestinal Endoscopic Surgeons, which includes a handson skills training component, a cognitive component, and an assessment component for laparoscopic surgery. Its main objective is to provide surgical residents and practicing surgeons with the opportunity to learn fundamental skills and obtain the theoretical knowledge required to perform laparoscopic surgery, guaranteeing a better performance in the operating room, and thus, improving patient security.

OBJECTIVE

The purpose of this study was to evaluate the effectiveness of telesimulation for teaching the Fundamentals of Laparosopic Surgery program in Colombia.

MATERIALS AND METHODS

Twenty participants (ten general surgeons and ten general surgery residents) in two cities in Colombia participated in eight weekly telesimulation sessions. Fundamentals of Laparoscopic Surgery scores were obtained for each participant before the telesimulation sessions (pre-test scores) and after telesimulation training was completed (post-test scores).

RESULTS

Using scoring parameters developed by the Society of American Gastrointestinal Endoscopic Surgeons, we found a significant improvement between pre-test and post-test scores. All the participants passed the skills component of the course.

CONCLUSION

This study evidences the effectiveness of telesimulation to improve the laparoscopic skills of the participants who had no previous knowledge of the Fundamentals of Laparoscopic Surgery program, which guaranteed obtaining the necessary score for approving the practical component of the program.

摘要

引言

腹腔镜手术基础课程是由美国胃肠内镜外科医师学会开发的一项教育项目,包括腹腔镜手术的实践技能培训部分、认知部分和评估部分。其主要目标是为外科住院医师和执业外科医生提供学习基本技能的机会,并获取进行腹腔镜手术所需的理论知识,确保在手术室中有更好的表现,从而提高患者安全性。

目的

本研究的目的是评估远程模拟教学在哥伦比亚开展腹腔镜手术基础课程的有效性。

材料与方法

哥伦比亚两个城市的20名参与者(10名普通外科医生和10名普通外科住院医师)参加了为期八周的远程模拟课程。在远程模拟课程之前(测试前分数)和完成远程模拟培训之后(测试后分数),获取了每位参与者的腹腔镜手术基础课程分数。

结果

使用美国胃肠内镜外科医师学会制定的评分参数,我们发现测试前和测试后分数之间有显著提高。所有参与者都通过了课程的技能部分。

结论

本研究证明了远程模拟对于提高那些之前不了解腹腔镜手术基础课程的参与者的腹腔镜技能是有效的,这确保了他们获得通过该课程实践部分所需的分数。

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