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基于模拟的训练是否有助于人体解剖学与外科学的融合?一项新型外科解剖学课程的报告。

Does simulation-based training facilitate the integration of human anatomy with surgery? A report of a novel Surgical Anatomy Course.

作者信息

Torres K, Denisow-Pietrzyk M, Pietrzyk Ł, Maciejewski R, Torres A

机构信息

Department of Didactics and Medical Simulation, Chair of Human Anatomy, Medical University of Lublin, Poland.

出版信息

Folia Morphol (Warsz). 2018;77(2):279-285. doi: 10.5603/FM.a2017.0088. Epub 2017 Oct 24.

DOI:10.5603/FM.a2017.0088
PMID:29064555
Abstract

BACKGROUND

Knowledge of gross anatomy, as a basic core subject, is fundamental for medical students and essential to medical practitioners, particularly for those intending a surgical career. However, both medical students and clinical teachers have found a significant gap in teaching basic sciences and the transition into clinical skills. The authors present a Surgical Anatomy Course developed to teach the anatomical basis of surgical procedures with particular emphasis on laparo-scopic skills while incorporating medical simulation.

MATERIALS AND METHODS

An evaluation of the students' satisfaction of the Surgical Anatomy Course was completed using a mix of multiple choice and open-ended questions, and a six-point Likert Scale. Questions were asked about the students' perceived improvement in surgical and laparoscopic skills. Manual skills were assessed using a laparoscopic simulator.

RESULTS

Both evaluation of the course structure and the general impression of the course were positive. Most students believed the course should be an integral part of a modern curriculum. The course supported the traditional surgical classes and improved anatomical knowledge and strengthened students' confidentiality and facilitated understanding and taking surgical rotations.

CONCLUSIONS

A medical course combining the practical learning of anatomy and surgical-based approaches will bring out the best from the students. Medical students positively evaluated the Surgical Anatomy Course as useful and benefi-cial regarding understanding anatomical structure and relationship necessary for further surgical education. (Folia Morphol 2018; 77, 2: 279-285).

摘要

背景

大体解剖学作为一门基础核心学科,对医学生至关重要,对医学从业者也必不可少,尤其是对于那些打算从事外科职业的人。然而,医学生和临床教师都发现基础科学教学与向临床技能过渡之间存在显著差距。作者介绍了一门外科解剖学课程,该课程旨在教授手术操作的解剖学基础,特别强调腹腔镜技能,同时融入医学模拟。

材料与方法

使用多项选择题和开放式问题以及六点李克特量表对学生对外科解剖学课程的满意度进行了评估。询问了学生在手术和腹腔镜技能方面的感知改善情况。使用腹腔镜模拟器评估手动技能。

结果

对课程结构的评估和对课程的总体印象都是积极的。大多数学生认为该课程应该是现代课程的一个组成部分。该课程支持传统的外科课程,提高了解剖学知识,增强了学生的信心,促进了理解并便于进行外科轮转。

结论

一门将解剖学的实践学习与基于手术的方法相结合的医学课程将充分发挥学生的潜力。医学生对该外科解剖学课程给予了积极评价,认为该课程对于理解进一步外科教育所需的解剖结构和关系是有用且有益的。(《形态学杂志》2018年;77卷,第2期:279 - 285页)

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