Arroyo-Berezowsky C
Centro Médico ABC, Ciudad de México. México.
Acta Ortop Mex. 2018 Sep-Oct;32(5):297-302.
There are less and fewer opportunities for residents to learn and develop surgical skills in the operating room. In some parts of the world, the development and adaptation of technology for the teaching of psychomotor skills in surgical specialties appears. Arthroscopy is a surgical technique that lends itself to simulation. So far there is no such thing as a structured and validated arthroscopy training program for orthopaedic residents in Mexico.
To propose a structured arthroscopy training plan that incorporates the simulation for orthopaedic residents.
A review of the literature on teaching with simulation in orthopaedics and arthroscopy was performed, a study was conducted to establish reference values for arthroscopy exercises in a virtual reality simulator and a training plan was developed with Arthroscopy simulation for orthopaedic residents.
A seven-stage program was developed with theoretical classes and simulation to improve motor skills. The complexity of the procedures increases through the practical modules. It is complemented by a semester evaluation.
Currently most of the efforts in teaching with simulators focus on medical students and first-and second-year residents. I believe that efforts should be focused to include residents of higher ranks and surgeons. This design will be proposed to the orthopaedic Unique Medical Education Program (PUEM in Spanish). It is important to develop validated curricula that incorporate the simulation for the development of motor skills in orthopaedic residents.
住院医师在手术室学习和培养手术技能的机会越来越少。在世界上的一些地区,出现了用于外科专业心理运动技能教学的技术开发和应用。关节镜检查是一种适合模拟的手术技术。到目前为止,墨西哥还没有针对骨科住院医师的结构化且经过验证的关节镜检查培训项目。
提出一个为骨科住院医师纳入模拟训练的结构化关节镜检查培训计划。
对骨科和关节镜检查模拟教学的文献进行综述,开展一项研究以确定虚拟现实模拟器中关节镜检查练习的参考值,并为骨科住院医师制定了关节镜检查模拟训练计划。
制定了一个七阶段的项目,包括理论课程和模拟训练以提高运动技能。通过实践模块,操作程序的复杂性逐步增加。该项目辅以学期评估。
目前,模拟器教学的大部分努力都集中在医学生以及第一年和第二年的住院医师身上。我认为应将努力方向转向纳入更高年级的住院医师和外科医生。这个设计将提交给骨科统一医学教育项目(西班牙语为PUEM)。开发经过验证的课程以纳入模拟训练,对于骨科住院医师运动技能的发展非常重要。