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东南亚首个神经外科新兵训练营:评估在缅甸仰光对知识及区域合作的影响

The First Neurosurgery Boot Camp in Southeast Asia: Evaluating Impact on Knowledge and Regional Collaboration in Yangon, Myanmar.

作者信息

Rock Jack, Glick Roberta, Germano Isabelle M, Dempsey Robert, Zervos John, Prentiss Tyler, Davis Matthew, Wright Ernest, Hlaing Kyi, Thu Myat, Soe Zaw Wai, Myaing Win

机构信息

Department of Neurosurgery, Henry Ford Hospital, Detroit, Michigan, USA.

Department of Neurosurgery, Rush University Medical Center, Chicago Medical School, and University of Illinois at Chicago, Chicago, Illinois, USA.

出版信息

World Neurosurg. 2018 May;113:e239-e246. doi: 10.1016/j.wneu.2018.02.001. Epub 2018 Feb 10.

Abstract

BACKGROUND

For the first time in Southeast Asia, a Fundamentals of Neurosurgery Boot Camp was held at the University of Medicine 1 in Yangon, Myanmar, February 24-26, 2017. The aim of this course was to teach and train fundamental skills to neurosurgery residents.

METHODS

The Myanmar Neurosurgical Society, Foundation for International Education in Neurosurgery, Society for Neurological Surgeons, The University of Medicine 1 in Yangon, Myanmar, and the Henry Ford Department of Neurosurgery developed a 2-day resident training course. Day 1 activities consisted of lectures by faculty, small group case discussions, and industry-supported demonstrations of surgical techniques. Day 2 activities consisted of hands-on skill stations for common neurosurgical procedures with each station supervised by attending faculty. Written evaluations were distributed before the meeting, immediately after the meeting, and 6 months after the meeting.

RESULTS

Boot camp attendees included 40 residents and 24 neurosurgical faculty from Myanmar, Cambodia, Nepal, Singapore, South Korea, Thailand, and Vietnam. There were 35 evaluations completed before the boot camp, 34 completed immediately after boot camp, and 20 completed 6 months after boot camp. Knowledge of participants improved from 62.75% before boot camp to 71.50% 6 months after boot camp (P = 0.046).

CONCLUSIONS

Boot camps provide fundamental didactic and technical exposure to trainees in developed and developing countries and help standardize training in basic neurosurgical competencies, while exposing local faculty to important teaching methods. This model provides a sustainable solution to educational needs and demonstrates to local neurosurgeons how they can take ownership of the educational process.

摘要

背景

2017年2月24日至26日,东南亚首次神经外科学基础训练营在缅甸仰光的第一医学院举行。本课程的目的是教授和培训神经外科住院医师的基本技能。

方法

缅甸神经外科学会、国际神经外科学教育基金会、神经外科医师学会、缅甸仰光的第一医学院以及亨利·福特神经外科系共同开发了一个为期两天的住院医师培训课程。第一天的活动包括教员授课、小组病例讨论以及行业支持的手术技术演示。第二天的活动包括常见神经外科手术的实践技能培训站,每个培训站由主治教员监督。在会议前、会议结束后立即以及会议结束6个月后分发书面评估。

结果

训练营的参与者包括来自缅甸、柬埔寨、尼泊尔、新加坡、韩国、泰国和越南的40名住院医师和24名神经外科教员。训练营前完成了35份评估,训练营结束后立即完成了34份评估,训练营结束6个月后完成了20份评估。参与者的知识水平从训练营前的62.75%提高到训练营结束6个月后的71.50%(P = 0.046)。

结论

训练营为发达国家和发展中国家的学员提供了基本的理论和技术培训,有助于规范基本神经外科能力的培训,同时让当地教员接触到重要的教学方法。这种模式为教育需求提供了可持续的解决方案,并向当地神经外科医生展示了他们如何能够主导教育过程。

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