Tatli Ozgur, Turkmen Suha, Imamoglu Melih, Karaca Yunus, Cicek Mustafa, Yadigaroglu Metin, Bayrak Selen T, Asik Olgun, Topbas Murat, Turedi Suleyman
Department of Emergency Medicine, Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey. E-mail.
Saudi Med J. 2017 Oct;38(10):1007-1012. doi: 10.15537/smj.2017.10.21021.
To develop a low-cost biomaterial-covered chest tube simulation model and assess its possible usefulness for developing the chest tube insertion skills among medical interns. Methods: This mannequin-based interventional study was performed in a University hospital setting. We included 63 physicians performing emergency medicine internship at the Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey, between January 2015 and March 2015. A dummy was prepared for training simulation using a display mannequin. Medical interns received instruction concerning pneumothorax and the chest tube procedure. A total of 63 medical interns participating in this interventional study were asked to insert a chest tube in a biomaterial-covered mannequin. A senior trainee scored their performance using a check list and the mean of the total scores was calculated (21 items; total score, 42). Results: The mean procedural score was 40.9 ± 1.3 of a possible 42. The maximum score of 42 was achieved by 39.7% of the medical interns, while another 33.3% achieved a score of 41. Of the participants, 85% succeeded in inserting the tube via an appropriate technique, achieving a score of 40 or more. Conclusion: Our results indicated that this model could be useful for effective training of medical interns for chest tube insertion, which is an important skill in emergency medicine. This biomaterial-covered model is inexpensive and its use can potentially be widened to improve training methods without significant financial demand.
开发一种低成本的生物材料覆盖的胸管模拟模型，并评估其对培养医学实习生胸管插入技能的潜在效用。方法：这项基于人体模型的干预性研究在一家大学医院进行。我们纳入了2015年1月至2015年3月期间在土耳其特拉布宗的黑海技术大学医学院进行急诊医学实习的63名医生。使用一个展示人体模型准备了一个用于训练模拟的假人。医学实习生接受了关于气胸和胸管操作的指导。共有63名参与这项干预性研究的医学实习生被要求在一个覆盖生物材料的人体模型中插入胸管。一名高级受训者使用一份检查表对他们的表现进行评分，并计算总分的平均值（共21项；总分42分）。结果：在可能的42分中，平均操作得分为40.9±1.3分。39.7%的医学实习生获得了42分的最高分，另有33.3%的人获得了41分。在参与者中，85%的人成功地通过适当的技术插入了胸管，得分达到40分或更高。结论：我们的结果表明，该模型对于医学实习生进行胸管插入的有效培训可能是有用的，胸管插入是急诊医学中的一项重要技能。这种生物材料覆盖的模型成本低廉，其应用有可能扩大，以在不产生重大财务需求的情况下改进培训方法。
