Multidisciplinary Simulation Center, Mayo Clinic, Rochester, MN; Department of General Surgery, Mayo Clinic, Rochester, MN.
Multidisciplinary Simulation Center, Mayo Clinic, Jacksonville, FL.
Urology. 2014 Jan;83(1):116-20. doi: 10.1016/j.urology.2013.09.030. Epub 2013 Nov 16.
OBJECTIVE: To evaluate the use of 2 inexpensive laparoscopic trainers (iTrainers) constructed of easily attainable materials and portable tablets (iPads). METHODS: Two different laparoscopic trainers were constructed using a cardboard box, thumbtacks, and Velcro tape (box trainer). A separate box was constructed using the same supplies with a 3-ring binder (binder trainer). An iPad was used as the camera and monitor for both trainers. A total of 10 participants, including 4 junior surgical residents, 4 senior surgical residents, and 2 surgical staff, completed 3 Fundamentals of Laparoscopic Surgery (FLS) tasks using the 2 "iTrainers." Participants then completed the same tasks on a traditional FLS box trainer. All 10 participants were asked to complete a 13-question survey after the exercises. RESULTS: All the participants (100%) had access to an "iPad" for the visualization component. The 10 participants completed all 3 tasks on all 3 trainers. Senior residents outperformed junior residents on 6 of the 9 total tasks. Attending surgeons outperformed all residents on all tasks and trainers. Survey results revealed the cardboard box "iTrainer" to be the most practical and easiest to construct. CONCLUSION: "iTrainers" are an inexpensive and easy-to-construct alternative to traditional box trainers that might have construct validity as demonstrated in this trial. The box trainer might be easier to construct and have more similarities to the FLS trainer than the binder iTrainer.
目的:评估使用两种廉价的腹腔镜训练器(iTrainer)的效果,这两种训练器由易于获得的材料和便携式平板电脑(iPad)制成。
方法:使用硬纸板箱、图钉和魔术贴胶带(箱式训练器)构建了两种不同的腹腔镜训练器。使用相同的材料和活页夹(活页夹训练器)构建了一个单独的箱子。将 iPad 用作两个训练器的摄像头和显示器。共有 10 名参与者,包括 4 名初级外科住院医师、4 名高级外科住院医师和 2 名外科工作人员,使用这两种“iTrainer”完成了 3 项腹腔镜基本技能(FLS)任务。参与者随后在传统的 FLS 箱式训练器上完成了相同的任务。所有 10 名参与者在练习后都完成了一份 13 个问题的调查问卷。
结果:所有参与者(100%)都可以使用 iPad 进行可视化操作。这 10 名参与者在所有 3 个训练器上完成了所有 3 项任务。高级住院医师在 9 项总任务中的 6 项上表现优于初级住院医师。主治外科医生在所有任务和训练器上的表现均优于所有住院医师。调查结果显示,硬纸板箱“iTrainer”是最实用和最容易构建的。
结论:“iTrainer”是一种廉价且易于构建的传统箱式训练器的替代品,在本试验中表现出了构建有效性。与活页夹 iTrainer 相比,箱式训练器可能更容易构建,并且与 FLS 训练器更相似。
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