Hong Mun-Kun, Chu Tang-Yuan, Ding Dah-Ching
Department of Obstetrics and Gynecology, Buddhist Tzu Chi General Hospital, Hualien, Taiwan, ROC.
Institute of Medical Science, Tzu Chi University, Hualien, Taiwan, ROC.
Gynecol Minim Invasive Ther. 2017 Jul-Sep;6(3):99-102. doi: 10.1016/j.gmit.2016.12.003. Epub 2017 Feb 1.
We briefly share our experience of using the silent mentor program in the Medical Simulation Center (MSC) of Tzu Chi University (TCU), Hualien, Taiwan, to improve our minimally invasive surgical level and patient's safety. The silent mentor program, established in 2000 by the Department of Anatomy of TCU, is a pioneering clinical skill training program based on unembalmed bodies. This program provides three valuable advantages for surgery. The first is the comprehensive understanding of the deep or rarely observed but crucial structures of the human body, which is normally difficult to achieve in living humans. The second is gaining the first experience of a novel procedure or surgery on silent mentors rather than on living humans, which is essential for young surgeons to begin their careers. The third is evaluating the safety and feasibility of a novel surgical method. In addition to surgical techniques, the most valuable point of the program is the humane ceremonies conducted for silent mentors to nourish our soul. After the workshop, all the incision wounds on every silent mentor were carefully checked and sutured in the same manner as in closing surgical wounds in a patient. Subsequently, encoffining, cremation, and thanksgiving ceremonies were solemnly held, in the hope that the medical students or trainees would imperceptibly understand their responsibility to society and the silent mentor's expectations. The Asia-Pacific Association for Gynecologic Endoscopy and Minimally Invasive Therapy, or the Taiwan Association for Minimally Gynecology Therapy, or both can consider initiating a regular silent mentor program in the MSC of TCU. It is not only intended to improve the skills of surgeons but also to allow them to participate in the interactive ceremony and thus refresh their humanitarian knowledge.
我们简要分享一下在台湾花莲慈济大学医学模拟中心（MSC）使用“无言良师”项目的经验，以提高我们的微创手术水平和患者安全。“无言良师”项目由慈济大学解剖学系于2000年设立，是一个基于未防腐尸体的开创性临床技能培训项目。该项目为外科手术提供了三个宝贵优势。首先是对人体深层或很少观察到但至关重要的结构有全面了解，这在活人身上通常很难做到。其次是在无言良师身上而不是活人身上获得新手术或外科操作的初次经验，这对年轻外科医生开启职业生涯至关重要。第三是评估一种新手术方法的安全性和可行性。除了手术技巧，该项目最有价值的一点是为无言良师举行的人文仪式，以滋养我们的心灵。工作坊结束后，对每具无言良师身上的所有切口伤口都进行仔细检查，并以与缝合患者手术伤口相同的方式进行缝合。随后，庄严举行入殓、火化和感恩仪式，希望医学生或实习生能在潜移默化中理解他们对社会的责任以及无言良师的期望。亚太妇科内镜与微创治疗协会或台湾微创妇科治疗协会，或两者都可考虑在慈济大学医学模拟中心启动定期的无言良师项目。这不仅旨在提高外科医生的技能，还能让他们参与互动仪式，从而更新他们的人文知识。
