Center for Surgical Technologies, Leuven, Belgium; Department of Urology, University Hospitals Leuven, Leuven, Belgium.
Center for Surgical Technologies, Leuven, Belgium; Department of Urology, University Hospitals Leuven, Leuven, Belgium; Department of Urology, Antwerp University Hospital, Antwerp, Belgium.
J Surg Educ. 2014 Mar-Apr;71(2):187-92. doi: 10.1016/j.jsurg.2013.07.008. Epub 2013 Aug 7.
Surgical interns are often not well prepared and have high anxiety about the execution of basic technical skills. This study investigates whether a short preclinical course focusing on laparoscopic camera-navigating skills is useful in the preparation for internship.
Through randomization, an experimental group who attended a short laparoscopic training session and a control group were created. Students' interest for this training and their confidence for laparoscopic exposure during surgical internship were inquired. During internship, camera-navigating skills were assessed by the operating surgeons (using a validated global rating scale) as well as by the students themselves (using a 10-points Likert scale).
All research was performed in the Center for Surgical Technologies, Leuven, Belgium.
A total of 205 fifth-year medical students at the University of Leuven, Belgium.
Of the control group students, 80% were interested in attending the training session. There was no difference in confidence between experimental and control group. According to the surgeons and students, there was a significant improvement in clinical performance from the first (scores on global rating and Likert scales ±50%) to the last procedure (scores ±70%) for both groups. However, there was no difference in performance between groups.
Students are very interested in attending a preclinical laparoscopic training session. However, trained students did not display higher confidence or better clinical performance during internship. Even without previous training, students are fast to acquire the necessary skills during surgical internship.
外科实习医生通常准备不足，并且对执行基本技术技能感到高度焦虑。本研究调查了专注于腹腔镜摄像导航技能的短期临床前课程是否有助于为实习做准备。
通过随机化，创建了参加短期腹腔镜培训课程的实验组和对照组。询问了学生对这种培训的兴趣以及他们在外科实习期间对腹腔镜暴露的信心。在实习期间，由手术医生（使用经过验证的综合评分量表）以及学生自己（使用 10 分制量表）评估摄像导航技能。
所有研究均在比利时鲁汶外科技术中心进行。
比利时鲁汶大学的 205 名五年级医学生。
对照组学生中有 80%对参加培训课程感兴趣。实验组和对照组学生的信心没有差异。根据外科医生和学生的评估，两组的临床表现都从第一例（综合评分和李克特量表得分±50%）到最后一例（得分±70%）都有显著提高。但是，两组之间的表现没有差异。
学生非常有兴趣参加临床前腹腔镜培训课程。然而，经过培训的学生在实习期间并没有表现出更高的信心或更好的临床表现。即使没有之前的培训，学生在外科实习期间也能快速掌握必要的技能。
