Jones Trahern W, Seckeler Michael D
Department of Pediatrics, University of Arizona College of Medicine, Arizona, USA.
Congenit Heart Dis. 2017 Sep;12(5):578-582. doi: 10.1111/chd.12486. Epub 2017 Jun 13.
Three-dimensional (3D) printing is a manufacturing method by which an object is created in an additive process, and can be used with medical imaging data to generate accurate physical reproductions of organs and tissues for a variety of applications. We hypothesized that using 3D printed models of congenital cardiovascular lesions to supplement an educational lecture would improve learners' scores on a board-style examination.
Patients with normal and abnormal aortic arches were selected and anonymized to generate 3D printed models. A cohort of pediatric and combined pediatric/emergency medicine residents were then randomized to intervention and control groups. Each participant was given a subjective survey and an objective board-style pretest. Each group received the same 20-minutes lecture on vascular rings and slings. During the intervention group's lecture, 3D printed physical models of each lesion were distributed for inspection. After each lecture, both groups completed the same subjective survey and objective board-style test to assess their comfort with and postlecture knowledge of vascular rings.
There were no differences in the basic demographics of the two groups. After the lectures, both groups' subjective comfort levels increased. Both groups' scores on the objective test improved, but the intervention group scored higher on the posttest.
This study demonstrated a measurable gain in knowledge about vascular rings and pulmonary artery slings with the addition of 3D printed models of the defects. Future applications of this teaching modality could extend to other congenital cardiac lesions and different learners.
三维(3D)打印是一种通过增材制造工艺创建物体的制造方法,可与医学成像数据结合使用,为各种应用生成准确的器官和组织物理复制品。我们假设使用先天性心血管病变的3D打印模型来补充教育讲座,将提高学习者在板试考试中的成绩。
选择主动脉弓正常和异常的患者,并对其进行匿名处理以生成3D打印模型。然后将一组儿科和儿科/急诊医学联合住院医师随机分为干预组和对照组。每位参与者都接受了主观调查和客观的板试预测试。两组都接受了相同的关于血管环和吊带的20分钟讲座。在干预组的讲座中,分发了每个病变的3D打印实体模型以供检查。每次讲座后,两组都完成相同的主观调查和客观板试,以评估他们对血管环的舒适度和讲座后的知识掌握情况。
两组的基本人口统计学特征没有差异。讲座后,两组的主观舒适度均有所提高。两组在客观测试中的分数都有所提高,但干预组在后期测试中的得分更高。
本研究表明,添加缺陷的3D打印模型后,在血管环和肺动脉吊带知识方面有可测量的收获。这种教学模式的未来应用可以扩展到其他先天性心脏病变和不同的学习者。