Department of Gastroenterological Surgery II, Hokkaido University School of Medicine, Kita-15, Nishi-7, Kita-ku, Sapporo, 060-8638, Japan.
Department of Gastroenterological Surgery II, Hokkaido University School of Medicine, Kita-15, Nishi-7, Kita-ku, Sapporo, 060-8638, Japan.
Am J Surg. 2018 Jul;216(1):88-92. doi: 10.1016/j.amjsurg.2017.12.008. Epub 2017 Dec 14.
Despite its advantages, few trainees outside of North America have access to simulation training. We hypothesized that a stepwise training method using tele-mentoring system would be an efficient technique for training in basic laparoscopic skills.
Residents were randomized into two groups and trained to proficiency in intracorporeal suturing. The stepwise group (SG) practiced the task step-by-step, while the other group practiced comprehensively (CG). Each participant received weekly coaching via two-way web conferencing software. The duration of the coaching sessions and self-practice time were compared between the two groups.
Twenty residents from 15 institutions participated, and all achieved proficiency. Coaching sessions using tele-mentoring system were completed without difficulties. The SG required significantly shorter coaching time per session than the CG (p = .002). There was no significant difference in self-practice time.
The stepwise training method with the tele-mentoring system appears to make efficient use of surgical trainees' and trainers' time.
尽管模拟训练有很多优势，但北美的以外的很少有学员能够接触到模拟训练。我们假设，使用远程指导系统的逐步培训方法将是培训基本腹腔镜技能的有效技术。
将住院医师随机分为两组，并对他们进行腔内缝合的熟练程度训练。逐步组（SG）按步骤逐步练习，而另一组则全面练习（CG）。每位参与者都通过双向网络会议软件每周接受一次教练指导。比较两组之间的指导课程和自我练习时间。
来自 15 个机构的 20 名住院医师参加了培训，所有人都达到了熟练程度。使用远程指导系统的指导课程没有任何困难地完成了。SG 每节课所需的指导时间明显短于 CG（p = 0.002）。自我练习时间没有显著差异。
使用远程指导系统的逐步培训方法似乎可以有效地利用外科学员和培训师的时间。
