Jansen Shirley, Cowie Margaret, Linehan John, Hamdorf Jeffery M
Department of Vascular Surgery, Sir Charles Gairdner Hospital, Perth, Western Australia, Australia; Department of Population Health, Curtin University, Perth, Western Australia, Australia.
ANZ J Surg. 2014 Nov;84(11):877-80. doi: 10.1111/ans.12361. Epub 2013 Aug 16.
Reduction in working hours, streamlined training schemes and increasing use of endovascular techniques has meant a reduction in operative experience for newer vascular surgical trainees, especially those exposures which are not routinely performed such as thoracoabdominal, thoracotomy and retroperitoneal aortic, for example.
This paper describes an Advanced Anatomy of Exposure course which was designed and convened at the Clinical Training & Evaluation Centre in Western Australia and uses fresh frozen cadavers. Feedback was obtained from the participants who attended over three courses by questionnaire.
Feedback was strongly positive for the course meeting both its learning outcomes and personal learning objectives, and in addition, making a significant contribution to specialty skills. Most participants thought the fresh frozen cadaveric model significantly improved the learning objectives for training.
The fresh frozen cadaver is an excellent teaching model highly representative of the living open surgical scenario where advanced trainees and newly qualified consultants can improve their operative confidence and consequently patient safety in vascular surgery. An efficient fresh frozen cadaver teaching programme can benefit many health professionals simultaneously maximizing the use of donated human tissue.
工作时长的减少、培训方案的简化以及血管内技术使用的增加,意味着新的血管外科受训人员的手术经验有所减少,尤其是那些非常规开展的手术暴露,比如胸腹联合、开胸以及腹膜后主动脉手术暴露等。
本文描述了一门在西澳大利亚临床培训与评估中心设计并举办的高级暴露解剖课程,该课程使用新鲜冷冻尸体。通过问卷调查从参加了三期课程的学员那里获得反馈。
对于该课程达成其学习成果和个人学习目标,以及对专业技能做出重大贡献,反馈非常积极。大多数参与者认为新鲜冷冻尸体模型显著提升了培训的学习目标。
新鲜冷冻尸体是一种出色的教学模型,高度代表了活体开放手术场景,在此场景中,高级受训人员和新获得资格的顾问医生可以增强其手术信心,从而提高血管外科手术中的患者安全性。一个高效的新鲜冷冻尸体教学项目可以同时使许多卫生专业人员受益,最大限度地利用捐赠的人体组织。