Department of Surgery, Veterans Affairs Boston Healthcare System (112-C), Boston, Massachusetts.
Department of Surgery, Veterans Affairs Boston Healthcare System (112-C), Boston, Massachusetts.
J Surg Res. 2019 Jun;238:57-63. doi: 10.1016/j.jss.2019.01.026. Epub 2019 Feb 6.
The present study was designed to implement and evaluate an interprofessional surgical technologist-to-surgical resident training program for junior general surgery residents aimed at enhancing their operating room skills. This program would be incorporated into the general surgery educational curriculum.
Under the guidance and supervision of a surgical technologist, first-year and second-year general surgery residents performed the perioperative and intraoperative tasks that are the responsibilities of the surgical technologist for 16 inguinal/umbilical hernia and 15 laparoscopic appendectomy/cholecystectomy operations performed by attending surgeons assisted by other surgical residents from June 01, 2017 until December 31, 2017. A pretraining and post-training survey comprised 25 ranked questions (using a four-point Likert scale), and four Yes/No questions were administered to volunteer general surgery residents.
Paired t-test analysis showed that playing the role of the surgical technologist by the junior surgery residents significantly improved (P < 0.0001) their assessment of operating room technical skills (knowledge and skills to prepare for the case and maintain a sterile field, understanding of the operative steps, knowledge of surgical instruments and their handling) as well as their nontechnical skills (situational awareness, understanding the importance of collaboration, teamwork, and communication). The answers to the binary Yes/No questions showed that all participating residents expect to use the experience gained from this training, would recommend this training session to a colleague, and support including this training session in their educational curriculum.
The findings of this study suggest a significant educational benefit of incorporating interprofessional, surgical technologist-to-surgical resident training into the educational curriculum of the junior general surgery residents.
本研究旨在为初级普外科住院医师实施并评估一项针对外科住院医师的跨专业外科技术员培训计划，旨在提高他们的手术室技能。该计划将纳入普外科教育课程。
在外科技术员的指导和监督下，第一年级和第二年级普外科住院医师执行了围手术期和手术期间的任务，这些任务是外科技术员的职责，涉及 16 例腹股沟/脐疝和 15 例腹腔镜阑尾切除术/胆囊切除术，由参加手术的外科医生协助其他外科住院医师完成，时间为 2017 年 6 月 1 日至 2017 年 12 月 31 日。一项预培训和后培训调查包括 25 个排名问题（使用四点李克特量表），并向志愿普外科住院医师提出了四个是/否问题。
配对 t 检验分析显示，初级外科住院医师担任外科技术员的角色显著提高（P<0.0001）了他们对手术室技术技能（准备病例和保持无菌场的知识和技能、了解手术步骤、手术器械及其处理的知识）以及非技术技能（情境意识、理解协作的重要性、团队合作和沟通）的评估。对是/否问题的回答表明，所有参与的住院医师都期望利用从这次培训中获得的经验，会向同事推荐这次培训课程，并支持将这次培训课程纳入他们的教育课程。
本研究的结果表明，将跨专业的外科技术员与外科住院医师培训纳入初级普外科住院医师教育课程具有重要的教育益处。
