Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts.
Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts.
J Surg Res. 2019 Jul;239:233-241. doi: 10.1016/j.jss.2019.01.041. Epub 2019 Mar 8.
BACKGROUND: There is limited guidance on how to longitudinally administer simulation materials or to incorporate video recordings into assessment portfolios of simulated surgical skills. MATERIALS AND METHODS: We launched a longitudinal weekly simulation curriculum for PGY1-PGY3 surgical residents based on the ACS/APDS Curriculum. Residents underwent monthly objective structured assessment of technical skills (OSATS) while wearing head-mounted cameras. Videos of OSATS performance accrued into individual online video portfolios. Residents were surveyed about their attitudes toward video recording. RESULTS: Twenty-seven general surgical residents participated, completing 161 OSATS encompassing 11 distinct skills and generating 258 videos of simulated skills performance. The overall survey response rate was 88%. Residents viewed the curriculum favorably overall, and 36.4% of residents accessed their videos. Of those who did not watch their videos, 78.6% cited not having enough time, whereas 28.6% did not think the videos would be useful. Over 95% of surveyed residents expressed interest in having a video library of attending-performed procedures, 59.1% were interested in having their own operations recorded, and 45.5% were interested in video-based coaching. CONCLUSIONS: Residents viewed longitudinal administration of the ACS/APDS Curriculum positively. Although video recording in simulation is feasible, resident interest may be higher for intraoperative recordings than for simulated skills.
背景:关于如何对模拟材料进行纵向管理,或者将视频录制纳入模拟手术技能评估组合,目前的指导有限。
材料与方法:我们根据 ACS/APDS 课程为 PGY1-PGY3 外科住院医师推出了一项纵向每周模拟课程。住院医师每月进行客观结构化的技术技能评估 (OSATS),同时佩戴头戴式摄像机。OSATS 表现的视频累积到个人在线视频档案中。我们调查了住院医师对视频录制的态度。
结果:共有 27 名普通外科住院医师参与,完成了 161 项 OSATS,涵盖了 11 项不同的技能,生成了 258 个模拟技能表现的视频。总体调查回复率为 88%。住院医师对课程整体评价良好,有 36.4%的住院医师观看了他们的视频。在没有观看视频的人中,78.6%的人表示没有足够的时间,而 28.6%的人认为视频没有用。超过 95%的接受调查的住院医师表示有兴趣拥有一个主治医生进行手术过程的视频库,59.1%的人有兴趣记录自己的手术,45.5%的人对基于视频的指导感兴趣。
结论:住院医师对 ACS/APDS 课程的纵向管理持积极态度。尽管在模拟中进行视频录制是可行的,但住院医师对术中记录的兴趣可能高于对模拟技能的兴趣。
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