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使用低保真模拟实验室培训来教授放射科住院医师CT引导操作。

Use of Low-Fidelity Simulation Laboratory Training for Teaching Radiology Residents CT-Guided Procedures.

作者信息

Picard Melissa, Nelson Rachel, Roebel John, Collins Heather, Anderson M Bret

机构信息

Department of Radiology and Radiological Sciences, Medical University of South Carolina, Charleston, South Carolina.

Department of Radiology and Radiological Sciences, Medical University of South Carolina, Charleston, South Carolina.

出版信息

J Am Coll Radiol. 2016 Nov;13(11):1363-1368. doi: 10.1016/j.jacr.2016.05.025. Epub 2016 Jul 16.

Abstract

PURPOSE

To determine the benefit of the addition of low-fidelity simulation-based training to the standard didactic-based training in teaching radiology residents common CT-guided procedures.

METHODS

This was a prospective study involving 24 radiology residents across all years in a university program. All residents underwent standard didactic lecture followed by low-fidelity simulation-based training on three common CT-guided procedures: random liver biopsy, lung nodule biopsy, and drain placement. Baseline knowledge, confidence, and performance assessments were obtained after the didactic session and before the simulation training session. Approximately 2 months later, all residents participated in a simulation-based training session covering all three of these procedures. Knowledge, confidence, and performance data were obtained afterward. These assessments covered topics related to preprocedure workup, intraprocedure steps, and postprocedure management. Knowledge data were collected based on a 15-question assessment. Confidence data were obtained based on a 5-point Likert-like scale. Performance data were obtained based on successful completion of predefined critical steps.

RESULTS

There was significant improvement in knowledge (P = .005), confidence (P < .008), and tested performance (P < .043) after the addition of simulation-based training to the standard didactic curriculum for all procedures.

CONCLUSIONS

This study suggests that the addition of low-fidelity simulation-based training to a standard didactic-based curriculum is beneficial in improving resident knowledge, confidence, and tested performance of common CT-guided procedures.

摘要

目的

确定在向放射科住院医师传授常见CT引导程序的标准理论教学基础上增加基于低仿真模拟的培训的益处。

方法

这是一项前瞻性研究,涉及一所大学项目中各年级的24名放射科住院医师。所有住院医师都接受了标准理论讲座,随后针对三种常见的CT引导程序进行了基于低仿真模拟的培训:随机肝活检、肺结节活检和引流管放置。在理论课程结束后和模拟培训课程开始前,获取了基线知识、信心和操作评估。大约2个月后,所有住院医师参加了涵盖所有这三种程序的基于模拟的培训课程。之后获取了知识、信心和操作数据。这些评估涵盖了与术前检查、术中步骤和术后管理相关的主题。知识数据基于一项15道题的评估收集。信心数据基于一个5点的类似李克特量表获取。操作数据基于预定义关键步骤的成功完成情况获取。

结果

在标准理论课程中增加基于模拟的培训后,所有程序的知识(P = .005)、信心(P < .008)和测试操作(P < .043)都有显著提高。

结论

本研究表明,在基于标准理论的课程中增加基于低仿真模拟的培训,有助于提高住院医师对常见CT引导程序的知识、信心和测试操作水平。

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