外科模拟研究重点概述：21世纪已取得的成果及仍有待解决的问题。
An overview of research priorities in surgical simulation: what the literature shows has been achieved during the 21st century and what remains.
作者信息
Johnston Maximilian J, Paige John T, Aggarwal Rajesh, Stefanidis Dimitrios, Tsuda Shawn, Khajuria Ankur, Arora Sonal
机构信息
Imperial Patient Safety Translational Research Centre, Department of Surgery and Cancer, Imperial College London, Room 5.03, 5th floor, Wright-Fleming Building, St Mary's Campus, Norfolk Place, London, W2 1PG, UK.
Department of Surgery, Louisiana State University Health Services Center, New Orleans, LA, USA.
出版信息
Am J Surg. 2016 Jan;211(1):214-25. doi: 10.1016/j.amjsurg.2015.06.014. Epub 2015 Aug 12.
BACKGROUND
Key research priorities for surgical simulation have been identified in recent years. The aim of this study was to establish the progress that has been made within each research priority and what still remains to be achieved.
METHODS
Members of the Association for Surgical Education Simulation Committee conducted individualized literature reviews for each research priority that were brought together by an expert panel.
RESULTS
Excellent progress has been made in the assessment of individual and teamwork skills in simulation. The best methods of feedback and debriefing have not yet been established. Progress in answering more complex questions related to competence and transfer of training is slower than other questions. A link between simulation training and patient outcomes remains elusive.
CONCLUSIONS
Progress has been made in skills assessment, curricula development, debriefing and decision making in surgery. The impact of simulation training on patient outcomes represents the focus of simulation research in the years to come.
背景
近年来已确定了外科手术模拟的关键研究重点。本研究的目的是确定在每个研究重点方面所取得的进展以及仍有待实现的目标。
方法
外科教育协会模拟委员会的成员针对每个研究重点进行了个性化文献综述，这些综述由一个专家小组汇总。
结果
在模拟中对个人技能和团队协作技能的评估方面已取得了卓越进展。最佳的反馈和总结方法尚未确立。在回答与能力和培训迁移相关的更复杂问题方面的进展比其他问题要慢。模拟培训与患者预后之间的联系仍然难以捉摸。
结论
在外科手术的技能评估、课程开发、总结和决策方面已取得进展。模拟培训对患者预后的影响是未来几年模拟研究的重点。
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