Nematollahi Saman, Kaplan Stephen J, Knapp Christopher M, Ho Hang, Alvarado Jared, Viscusi Rebecca, Adamas-Rappaport William
The University of Arizona College of Medicine, 1501 N Campbell Avenue, Tucson, AZ, USA.
Department of General Surgery, Virginia Mason Medical Center, Seattle, WA, USA.
Am J Surg. 2015 Aug;210(2):401-403.e2. doi: 10.1016/j.amjsurg.2015.01.018. Epub 2015 Apr 29.
Student acquisition of technical skills during the clinical years of medical school has been steadily declining. To address this issue, the authors instituted a fresh cadaver-based Emergency Surgical Skills Laboratory (ESSL).
Sixty-three medical students rotating through the third-year surgery clerkship participated in a 2-hour, fresh cadaver-based ESSL conducted during the first 2 days of the clerkship. The authors evaluated students utilizing both surgical skills and written examination before the ESSL and at 4 weeks post ESSL.
Students demonstrated a mean improvement of 64% (±11) (P < .001) and 38% (±17) (P < .001) in technical skills and clinical knowledge, respectively. When technical skills were compared between cohorts, there were no differences observed in both pre- and post-testing (P = .08).
A fresh cadaver laboratory is an effective method to provide proficiency in emergency technical skills not acquired during the clinical years of medical school.
医学院临床阶段学生技术技能的掌握程度一直在稳步下降。为解决这一问题，作者设立了一个基于新鲜尸体的急诊外科技能实验室（ESSL）。
63名正在进行三年级外科实习轮转的医学生参加了在实习的前两天进行的为期2小时的基于新鲜尸体的ESSL。作者在ESSL前和ESSL后4周利用外科技能和笔试对学生进行评估。
学生在技术技能和临床知识方面分别平均提高了64%（±11）（P < .001）和38%（±17）（P < .001）。当比较不同队列之间的技术技能时，在测试前和测试后均未观察到差异（P = .08）。
新鲜尸体实验室是一种有效的方法，可使学生掌握在医学院临床阶段未获得的急诊技术技能。
