1 Copenhagen Academy for Medical Education and Simulation-CAMES Rigshospitalet, Copenhagen, Denmark.
2 Center for Surgical Science, Zealand University Hospital, Køge, Denmark.
Scand J Surg. 2019 Jun;108(2):109-116. doi: 10.1177/1457496918798201. Epub 2018 Sep 12.
Simulation-based training in laparoscopy can improve patient safety and efficiency of care, but it depends on how it is used. Research in medical education has moved from demonstrating transferability of simulation training to the operating room to how to best implement it. This study aims to investigate how simulation-based training in laparoscopy has been implemented Scandinavia.
An online survey was sent out to medical doctors at surgical, gynecological, and urological departments at 138 hospitals in Denmark, Norway, and Sweden. The questionnaire included questions on respondents' baseline characteristics, opinions, access, and actual use of simulation-based training in laparoscopy.
In total, 738 respondents completed the survey. Of these, 636 (86.2%) of respondents agreed or strongly agreed that simulation-based training in laparoscopy should be mandatory. A total of 602 (81.6%) had access to simulation-based training in laparoscopy. Of the total 738 respondents, 141 (19.1%) were offered structured training courses, 129 (17.5%) were required to reach a predefined level of competency, and 66 (8.9%) had mandatory courses in laparoscopy. In all, 72 (9.8%) had never used simulation-based training in laparoscopy.
An implementation gap in laparoscopic simulation-based training still exists in Scandinavia. Simulation equipment is generally available, but there is a lack of structured simulation-based training.
基于模拟的腹腔镜手术培训可以提高患者安全和医疗效率，但这取决于如何使用它。医学教育研究已经从证明模拟培训在手术室中的可转移性转变为如何最好地实施它。本研究旨在调查在斯堪的纳维亚半岛，腹腔镜模拟培训是如何实施的。
向丹麦、挪威和瑞典的 138 家医院的外科、妇科和泌尿科医生发送了一份在线调查问卷。问卷包括受访者的基本特征、意见、获取途径和实际使用腹腔镜模拟培训的问题。
共有 738 名受访者完成了调查。其中，636 名（86.2%）受访者同意或强烈同意腹腔镜模拟培训应该是强制性的。共有 602 名（81.6%）有机会接受腹腔镜模拟培训。在 738 名受访者中，141 名（19.1%）接受了结构化培训课程，129 名（17.5%）被要求达到预定义的能力水平，66 名（8.9%）接受了强制性腹腔镜课程。共有 72 名（9.8%）从未使用过腹腔镜模拟培训。
斯堪的纳维亚半岛的腹腔镜模拟培训仍然存在实施差距。模拟设备通常是可用的，但缺乏结构化的模拟培训。
