Department of Otolaryngology, Harvard Medical School, Boston, Massachusetts; Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts.
Department of Otolaryngology, Harvard Medical School, Boston, Massachusetts; Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts.
J Surg Educ. 2019 Jan-Feb;76(1):274-280. doi: 10.1016/j.jsurg.2018.06.027. Epub 2018 Aug 6.
To introduce 3 novel intensive facial plastic and reconstructive surgery teaching modules for surgical capacity building using simulation in a low-middle income country.
Prospective cohort study.
University-based medical center in Quito, Ecuador.
First- and second-year otolaryngology residents in Quito, Ecuador.
Residents participated in an intensive 3-day teaching program focused on microtia, nasoseptal abnormalities, and facial paralysis that included didactic lectures, simulation workshops, and live surgery. Residents underwent rigorous pre- and postmodule testing including written, oral, and practical examinations in each subject area. All participants completed anonymous feedback surveys with ratings on a Likert scale from 0 (very poor) to 10 (excellent). Nineteen residents completed both pre- and postmodule testing. The training module was successfully implemented and testing performance across all 3 subject areas significantly improved. Resident feedback was exceedingly positive, with average scores for each component ranging from 8.9 to 9.8, with highest scores given to the simulation workshops. The postmodule survey indicated that all residents found the course helpful and they desired additional courses covering more subject areas.
Implementation of an intensive surgical training module combining didactics, surgical simulation, and live surgery resulted in the successful transfer of both skills and knowledge. While the long-term benefit of this program is yet to be determined, this model of training may prove to be a useful tool to help address surgical capacity building in the developing world.
介绍 3 种新的强化面部整形和重建手术教学模块，以模拟为手段在中低收入国家进行手术能力建设。
前瞻性队列研究。
厄瓜多尔基多的一所大学医学中心。
基多的耳鼻喉科住院医师，第一和第二年。
住院医师参加了为期 3 天的强化教学计划，重点是小耳畸形、鼻中隔异常和面瘫，包括理论讲座、模拟研讨会和现场手术。住院医师在每个科目都接受了严格的模块前和模块后测试，包括书面、口头和实践考试。所有参与者都完成了匿名反馈调查，对每个主题领域的评价从 0（非常差）到 10（优秀）。19 名住院医师完成了模块前和模块后的测试。培训模块成功实施，所有 3 个科目领域的测试成绩都显著提高。住院医师的反馈非常积极，每个组成部分的平均得分从 8.9 到 9.8，对模拟研讨会的评价最高。模块后调查表明，所有住院医师都认为该课程有帮助，他们希望有更多涵盖更多主题领域的课程。
实施结合理论教学、手术模拟和现场手术的强化手术培训模块，成功地转移了技能和知识。虽然该计划的长期效益尚待确定，但这种培训模式可能被证明是帮助解决发展中国家手术能力建设的有用工具。
