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基于尸体的创伤外科教育研讨会的有效性:半年随访后的技能保持情况。

Effectiveness of cadaver-based educational seminar for trauma surgery: skills retention after half-year follow-up.

作者信息

Homma Hiroshi, Oda Jun, Yukioka Tetsuo, Hayashi Shogo, Suzuki Tomoya, Kawai Kentaro, Nagata Katsuhiro, Sano Hidefumi, Takyu Hiroshi, Sato Norio, Taguchi Hirokazu, Mashiko Kazuki, Azuhata Takeo, Ito Masayuki, Fukuhara Tomomi, Kurashima Yo, Kawata Shinichi, Itoh Masahiro

机构信息

Department of Emergency and Critical Care Medicine Tokyo Medical University Shinjuku-ku Tokyo Japan.

Department of Anatomy Tokyo Medical University Shinjuku-ku Tokyo Japan.

出版信息

Acute Med Surg. 2016 Jul 19;4(1):57-67. doi: 10.1002/ams2.230. eCollection 2017 Jan.

Abstract

AIM

In Japan, trauma surgery training remains insufficient, and on-the-job training has become increasingly difficult because of the decreasing number of severe trauma patients and the development of non-operative management. Therefore, we assessed whether a 1-day cadaver-based seminar is effective for trauma surgery training.

METHODS

Data were collected from 11 seminars carried out from January 2013 to March 2014, including a 10-point self-assessment of confidence levels (SACL) for 21 surgical skills and an evaluation of the contents before, just after, and a half-year after the seminar. Statistical analysis was undertaken using the paired -test at < 0.0167.

RESULTS

A total of 135 participants were divided into three groups based on experience and clinical careers. The SACL improved in all skills between before and just after the seminar, however, they decreased between just after and a half-year after the seminar. The SACL did not change significantly in all skills between just after and a half-year after the seminar in highly experienced and experienced group members belonging to an emergency center.

CONCLUSIONS

A cadaver-based seminar provided more self-confidence just after the seminar for participants at all experience levels. This effect was not maintained after a half-year, except in participants who can practice the skills at an emergency center. Practicing and participating in the seminar repeatedly is suggested to be effective for skills retention in trauma surgery.

摘要

目的

在日本,创伤外科培训仍然不足,并且由于严重创伤患者数量的减少和非手术治疗的发展,在职培训变得越来越困难。因此,我们评估了为期1天的尸体研讨会对创伤外科培训是否有效。

方法

收集了2013年1月至2014年3月期间举办的11次研讨会的数据,包括对21种手术技能的10分自我信心水平评估(SACL)以及研讨会前、刚结束后和结束半年后的内容评估。使用配对检验进行统计分析,显著性水平为<0.0167。

结果

根据经验和临床工作经历,共有135名参与者被分为三组。在研讨会前和刚结束后,所有技能的SACL均有所提高,然而,在研讨会刚结束后和结束半年后,SACL有所下降。在属于急诊中心的经验丰富和有经验的小组成员中,研讨会刚结束后和结束半年后所有技能的SACL没有显著变化。

结论

基于尸体的研讨会在研讨会刚结束后为所有经验水平的参与者提供了更多的自信。除了那些能够在急诊中心练习技能的参与者外,这种效果在半年后没有持续。建议反复练习和参加研讨会对创伤外科技能的保留有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbcf/5667279/969df830731c/AMS2-4-057-g001.jpg

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