Lim Chou Phay, Roberts Mark, Chalhoub Tony, Waugh Jason, Delegate Laura
1Obstetrics and Gynaecology, Royal Victoria Infirmary, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle Upon Tyne, NE1 4LP UK.
2Royal Victoria Infirmary, Newcastle Upon Tyne, UK.
Gynecol Surg. 2018;15(1):4. doi: 10.1186/s10397-017-1034-0. Epub 2018 Jan 16.
Fresh frozen cadaver training has been proposed as a better model than virtual reality simulators in laparoscopy training. We aimed to explore the relationship between cadaveric surgical training and increased surgical confidence.To determine feasibility, we devised two 1-day cadaveric surgical training days targeted at trainees in obstetrics and gynaecology. Seven defined surgical skills were covered during the course of the day. The relationship between surgical training and surgical confidence was explored using both quantitative (confidence scores) and qualitative tools (questionnaires).
Participants rated a consistent improvement in their level of confidence after the training. They universally found the experience positive and three overarching themes emerged from the qualitative analysis including self-concept, social persuasion and stability of task.
It is pragmatically feasible to provide procedure-specific cadaveric surgical training alongside supervised clinical training. This small, non-generalisable study suggests that cadaveric training may contribute to an increase in surgical self-confidence and efficacy. This will form the basis of a larger study and needs to be explored in more depth with a larger population.
在腹腔镜训练中，新鲜冷冻尸体训练已被提议作为比虚拟现实模拟器更好的模型。我们旨在探讨尸体外科训练与手术信心增强之间的关系。为确定可行性，我们为妇产科实习生设计了两个为期1天的尸体外科训练日。在一天的课程中涵盖了七种明确的手术技能。使用定量（信心评分）和定性工具（问卷）来探索手术训练与手术信心之间的关系。
参与者评定训练后他们的信心水平有持续提高。他们普遍认为这次经历是积极的，定性分析出现了三个总体主题，包括自我概念、社会说服和任务稳定性。
在有监督的临床训练的同时提供特定手术的尸体外科训练在实际操作上是可行的。这项小型的、不可推广的研究表明，尸体训练可能有助于提高手术自信心和效率。这将构成一项更大规模研究的基础，并且需要在更多人群中进行更深入的探索。
