Gao Jie, Fang Jun, Jin Zhendong, Wang Dong, Li Zhaoshen
Department of Gastroenterology, Changhai Hospital, The Second Military University, Shanghai, China.
Endosc Ultrasound. 2019 Jan-Feb;8(1):25-30. doi: 10.4103/2303-9027.252232.
EUS has been widely used in the diagnosis of pancreatobiliary diseases. However, improvements in the conventional training pattern of EUS are needed urgently. In this study, we compared the results achieved after use of clinical practice training patterns combined with or without simulator training and evaluated the effectiveness of simulator use in EUS training.
The trainees were randomly divided into two groups: the experimental group was trained with both clinical practice and simulator training system and the control group was only trained through clinical practice. After 1 month of training, trainees of both groups were tested with an established technical evaluation procedure that aimed to assess trainees' ability to examine the normal anatomical structure. Then, trainees in the experimental group completed a questionnaire.
The mean test score of the experimental group (64.53 ± 4.91) was significantly greater than that of the control group (60.09 ± 5.49; P= 0.028). Moreover, the individual test score of trainees in the experimental group was positively correlated with the frequency of simulator use (P = 0.242).
Simulator training can promote trainees' ability to evaluate the normal anatomical structure, and thus, can improve the efficiency of the EUS training program.
超声内镜已广泛应用于胰腺和胆道疾病的诊断。然而,传统的超声内镜培训模式急需改进。在本研究中,我们比较了采用临床实践培训模式结合或不结合模拟器培训后的结果,并评估了模拟器在超声内镜培训中的有效性。
将学员随机分为两组:实验组接受临床实践和模拟器培训系统的培训,对照组仅通过临床实践进行培训。经过1个月的培训后,两组学员均采用既定的技术评估程序进行测试,该程序旨在评估学员检查正常解剖结构的能力。然后,实验组的学员完成一份问卷。
实验组的平均测试成绩(64.53±4.91)显著高于对照组(60.09±5.49;P = 0.028)。此外,实验组学员的个人测试成绩与模拟器使用频率呈正相关(P = 0.242)。
模拟器培训可以提高学员评估正常解剖结构的能力,从而提高超声内镜培训项目的效率。