Koehler Ryan, John Tamara, Lawler Jeffrey, Moorman Claude, Nicandri Gregg
School of Medicine and Dentistry, University of Rochester, Rochester, New York.
Department of Orthopaedic Surgery, Yale University, New Haven, Connecticut.
J Knee Surg. 2015 Feb;28(1):67-74. doi: 10.1055/s-0034-1368142. Epub 2014 Feb 7.
The purpose of this study was to determine the frequency of use, perceived effectiveness, and preference for arthroscopic surgical skill training resources. An electronic survey was sent to orthopedics residents, residency program directors, and orthopedic sports medicine attending physicians in the United States. The frequency and perceived effectiveness of 10 types of adjunctive arthroscopic skills training was assessed. Residents and faculty members were asked to rate their confidence in resident ability to perform common arthroscopic procedures. Surveys were completed by 40 of 152 (26.3%) orthopedic residency program directors, 70 of 426 (16.4%) sports medicine faculty, and 235 of 3,170 (7.4%) orthopedic residents. The use of adjunctive methods of training varied from only 9.8% of programs with virtual reality training to 80.5% of programs that used reading of published materials to develop arthroscopic skill. Practice on cadaveric specimens was viewed as the most effective and preferred adjunctive method of training. Residents trained on cadaveric specimens reported increased confidence in their ability to perform arthroscopic procedures. The resources for developing arthroscopic surgical skill vary considerably across orthopedic residency programs in the United States. Adjunctive training methods were perceived to be effective at supplementing traditional training in the operating room.
本研究的目的是确定关节镜手术技能培训资源的使用频率、感知有效性和偏好。向美国的骨科住院医师、住院医师培训项目主任以及骨科运动医学主治医师发送了一份电子调查问卷。评估了10种辅助关节镜技能培训的频率和感知有效性。要求住院医师和教员对住院医师进行常见关节镜手术的能力信心进行评分。152名骨科住院医师培训项目主任中的40名（26.3%）、426名运动医学教员中的70名（16.4%）以及3170名骨科住院医师中的235名（7.4%）完成了调查问卷。辅助训练方法的使用情况各不相同，从仅9.8%的项目使用虚拟现实训练到80.5%的项目通过阅读已发表材料来培养关节镜技能。在尸体标本上练习被视为最有效且最受欢迎的辅助训练方法。在尸体标本上接受训练的住院医师报告称，他们对进行关节镜手术的能力更有信心。在美国，不同骨科住院医师培训项目中用于培养关节镜手术技能的资源差异很大。辅助训练方法被认为在补充手术室传统训练方面是有效的。
