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[模拟在法国泌尿外科住院医师培训课程中的作用:法国泌尿外科住院医师培训协会(AFUF)的一项研究]

[The role of simulation in the curriculum of French urologists-in-training: a study by the French Association of Urologists-in-Training (AFUF)].

作者信息

Fiard G, Capon G, Rizk J, Maurin C, Dariane C, Audenet F, Tanchoux C, Brichart N, Lebdai S, Sanson S, Madec F-X, Thibault F, Terrasa J-B, Murez T, Terrier J-E

机构信息

Association française des urologues en formation, 11, rue Viète, 75017 Paris, France; Service d'urologie et de la transplantation rénale, CHU de Grenoble, BP 217, 38043 Grenoble cedex 09, France.

Association française des urologues en formation, 11, rue Viète, 75017 Paris, France; Service d'urologie, CHU de Bordeaux, place Amélie-Raba-Léon, 33000 Bordeaux, France.

出版信息

Prog Urol. 2014 May;24(6):390-6. doi: 10.1016/j.purol.2013.10.013. Epub 2013 Dec 2.

Abstract

OBJECTIVES

To study the place of simulation in the training curriculum of French urologists-in-training.

MATERIALS AND METHODS

An online questionnaire was sent to all residents and fellows members of the AFUF between February and May, 2013. Results are presented as the median (interquartile range).

RESULTS

The answers of 125 urologists-in-training were computed (response rate 38%). They were residents in 90 cases (72%), and fellows in 35 cases (28%). Median age was 29 (27-30), male proportion 77%. All French academic urology departments were represented. Ninety of them (72%) had access to a pelvi-trainer and 66 (53%) to animal or cadaveric models, although they never used them or less than once a month in 83 and 97% of cases, respectively. Seventy-two (58%) had used a virtual-reality based simulator at least once and 38 (30%) had regular access to one, but without supervision in 64% of cases. Factors limiting simulation-based training were the lack of available simulators (70%), the lack of time (58%), the absence of incitement (34%) and supervision (20%). If these conditions were met, 86% of urologists-in-training would be ready to spend more than one hour a-week training on a simulator.

CONCLUSION

This study revealed among the sample of respondents a limited use of simulation tools for skills aquisition. This was explained by a limited availability of these tools but also by an insufficient use of the tools when available.

摘要

目的

研究模拟训练在法国泌尿外科住院医师培训课程中的地位。

材料与方法

2013年2月至5月间,向法国泌尿外科医师协会(AFUF)的所有住院医师和专科医师会员发送了一份在线调查问卷。结果以中位数(四分位间距)表示。

结果

对125名泌尿外科住院医师的回答进行了统计分析(回复率38%)。其中90名(72%)为住院医师,35名(28%)为专科医师。年龄中位数为29岁(27 - 30岁),男性比例为77%。法国所有学术性泌尿外科科室均有代表参与。其中90个科室(72%)可使用盆腔训练器,66个科室(53%)可使用动物或尸体模型,不过在83%和97%的情况下,他们从未使用过或每月使用次数少于一次。72名(58%)至少使用过一次基于虚拟现实的模拟器,38名(30%)可定期使用,但64%的情况无监督。限制基于模拟训练的因素包括缺乏可用模拟器(70%)、缺乏时间(58%)、缺乏激励(34%)和监督(20%)。如果满足这些条件,86%的泌尿外科住院医师愿意每周花超过一小时在模拟器上训练。

结论

本研究显示,在受访者样本中,模拟工具在技能获取方面的使用有限。这是由于这些工具的可用性有限,以及工具可用时使用不足所致。

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