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面部解剖作为整形外科方法:住院医师培训中的有效方法

Face Dissection as the Plastic Surgery Approach: Effective Method in Residency Training.

作者信息

Jung Joo Sung, Kang Dong Hee, Lim Nam Kyu

机构信息

Department of Plastic and Reconstructive Surgery, Dankook University Hospital, Cheonan, Chungnam, Republic of Korea.

出版信息

J Craniofac Surg. 2019 May/Jun;30(3):e263-e265. doi: 10.1097/SCS.0000000000005299.

Abstract

PURPOSE

The global trend of resident work-hour restrictions requires a more time efficient way of resident training. Among many training programs for learning the facial anatomy, the cadaver is the most similar to live patients. A cadaver should be used as efficiently as possible due to human dignity as well as the consideration of cost. The authors designed an effective cadaver dissection method in learning facial anatomy using the plastic surgery approach.

METHOD

A 51-year-old male cadaver was used for dissection. The program was proceeded 6 times over 6 weeks, and 4 to 8 hours each day. We used standard surgical instruments with magnifying loupes. The results were analyzed through a numerical scale survey.

RESULT

We planned to dissect the face from medial to lateral, cephalic to caudal, and superficial to deep portion. The overall knowledge and confidence level of the face were increased in all 7 participants. The mean knowledge level before and after the seminar was 3.00 and 4.03, respectively. Confidence level also increased through the seminar from 1.86 to 2.86.

CONCLUSION

The authors believe this cadaver dissection program could optimize learning anatomical knowledge and improve resident's surgical confidence through a wide range of procedures.

摘要

目的

住院医师工作时间限制的全球趋势要求采用更具时间效率的住院医师培训方式。在众多学习面部解剖的培训项目中,尸体与活体患者最为相似。出于对人类尊严以及成本的考虑,应尽可能高效地使用尸体。作者设计了一种采用整形手术方法学习面部解剖的有效尸体解剖方法。

方法

使用一名51岁男性尸体进行解剖。该项目在6周内进行了6次,每天4至8小时。我们使用标准手术器械和放大镜。通过数字量表调查对结果进行分析。

结果

我们计划从内侧到外侧、从头颅到尾部、从浅部到深部对面部进行解剖。所有7名参与者对面部的整体知识和信心水平均有所提高。研讨会前后的平均知识水平分别为3.00和4.03。信心水平也通过研讨会从1.86提高到2.86。

结论

作者认为,该尸体解剖项目可以通过广泛的操作优化解剖知识的学习,并提高住院医师的手术信心。

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