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功能性鼻内镜鼻窦手术的培训与评估

Training and assessment in functional endoscopic sinus surgery.

作者信息

Chan M, Carrie S

机构信息

ENT Department,Health Education North East,Newcastle Upon Tyne,UK.

ENT Department,Freeman Hospital,Newcastle Upon Tyne,UK.

出版信息

J Laryngol Otol. 2018 Feb;132(2):133-137. doi: 10.1017/S0022215117002183. Epub 2018 Jan 16.

DOI:10.1017/S0022215117002183
PMID:29335042
Abstract

BACKGROUND

Functional endoscopic sinus surgery is a common procedure performed within otolaryngology, but it carries potential for significant life-changing complications. It is therefore essential that trainees undergo adequate training. The European Working Time Directive has led to reduced operating time for the trainee surgeon. With variable access and the cost implications associated with cadaveric specimens, simulation can be an invaluable educational resource in surgical training. The current literature regarding the various simulation methodologies that have been used in functional endoscopic sinus surgery training is discussed.

METHOD

A literature search was conducted using the key words 'nasal', 'nasal polyps', 'endoscope', 'education and simulation', 'endoscopic sinus surgery' and 'training'.

RESULTS

Twelve articles were identified; of these, eight trialled the use of simulators, two utilised ovine models and two used task trainers.

CONCLUSION

Simulation has shown benefit in functional endoscopic sinus surgery training; however, a robust platform accessible to ENT trainees is lacking.

摘要

背景

功能性鼻内镜鼻窦手术是耳鼻喉科常见的手术,但存在导致重大生活改变并发症的可能性。因此,学员接受充分培训至关重要。欧洲工作时间指令导致实习外科医生的手术时间减少。由于获取途径多样以及与尸体标本相关的成本问题,模拟可成为手术培训中宝贵的教育资源。本文讨论了目前有关功能性鼻内镜鼻窦手术培训中使用的各种模拟方法的文献。

方法

使用关键词“鼻腔”“鼻息肉”“内窥镜”“教育与模拟”“鼻内镜鼻窦手术”和“培训”进行文献检索。

结果

共识别出12篇文章;其中,8篇试验了模拟器的使用,2篇利用绵羊模型,2篇使用任务训练器。

结论

模拟已显示出在功能性鼻内镜鼻窦手术培训中的益处;然而,缺乏可供耳鼻喉科实习生使用的强大平台。

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Training and assessment in functional endoscopic sinus surgery.功能性鼻内镜鼻窦手术的培训与评估
J Laryngol Otol. 2018 Feb;132(2):133-137. doi: 10.1017/S0022215117002183. Epub 2018 Jan 16.
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Improving Rhinology Skills with Simulation.通过模拟提升鼻科学技能。
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The McGill simulator for endoscopic sinus surgery (MSESS): a validation study.麦吉尔鼻窦内窥镜手术模拟器(MSESS):一项验证研究。
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In-training assessment and predictors of competency in endoscopic sinus surgery.内镜鼻窦手术能力的培训评估及预测因素。
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Blinded Evaluation of Endoscopic Skill and Instructability After Implementation of an Endoscopic Simulation Experience.内镜模拟体验实施后内镜操作技能与可教导性的盲法评估
Am J Rhinol Allergy. 2019 Nov;33(6):681-690. doi: 10.1177/1945892419860973. Epub 2019 Jul 4.
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Achievement of competency in endoscopic sinus surgery of otolaryngology residents.耳鼻喉科住院医师鼻内镜鼻窦手术能力的达成。
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Safety of endoscopic sinus surgery in a residency training program.住院医师培训项目中鼻内镜手术的安全性
Ear Nose Throat J. 1999 Dec;78(12):898-902, 904.
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The effect of low-fidelity endoscopic sinus surgery simulators on surgical skill.低逼真度鼻窦内窥镜手术模拟器对手术技能的影响。
Int Forum Allergy Rhinol. 2012 Jan-Feb;2(1):20-6. doi: 10.1002/alr.20093. Epub 2011 Sep 15.
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Fabrication and validation of a low-cost, medium-fidelity silicone injection molded endoscopic sinus surgery simulation model.一种低成本、中等保真度的硅胶注射成型鼻窦内窥镜手术模拟模型的制作与验证
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