Sellers Taylor, Ghannam Moleca, Asantey Kojo, Klei Jennifer, Olive Elizabeth, Roach Victoria
Medical Student, Oakland University William Beaumont School of Medicine.
Medical Student, Student, Oakland University William Beaumont School of Medicine.
MedEdPORTAL. 2019 Feb 27;15:10810. doi: 10.15766/mep_2374-8265.10810.
Despite the increasing prevalence of minimally invasive surgery (MIS), medical students receive little training in MIS techniques like laparoscopy. Cost is perhaps the biggest obstacle, as expensive laparoscopic skill simulators (box trainers) are needed to mimic the laparoscopic environment. Low-cost, homemade box trainers have been built and described in the literature but are generally relegated to self-directed practice for surgical residents. These do-it-yourself (DIY) box trainers are uniquely capable of addressing cost as a major barrier to laparoscopic skills training for medical students but have not previously been used specifically for this purpose.
Students from the Oakland University William Beaumont School of Medicine ( = 17) participated in a laparoscopic skills training course using DIY box trainers. Four basic laparoscopic tasks were taught using live demonstrations followed by directed practice. Learners were instructed to record their first and last attempts in order to enable self-assessment of their progress.
All learners were able to successfully complete each of the four laparoscopic tasks by the end of their respective sessions. Feedback from the learners in the form of a postsession survey indicated that the course provided an enjoyable and high-quality experience.
This resource is effective at providing medical students with a low-cost opportunity to experience laparoscopy and develop basic laparoscopic skills.
尽管微创手术（MIS）的普及率不断上升，但医学生在腹腔镜检查等MIS技术方面接受的培训却很少。成本可能是最大的障碍，因为需要昂贵的腹腔镜技能模拟器（箱式训练器）来模拟腹腔镜环境。文献中已介绍了低成本的自制箱式训练器，但它们通常仅供外科住院医师自主练习使用。这些自制（DIY）箱式训练器特别能够解决成本问题，而成本是医学生进行腹腔镜技能培训的主要障碍，但此前尚未专门用于这一目的。
奥克兰大学威廉·博蒙特医学院的学生（n = 17）参加了使用DIY箱式训练器的腹腔镜技能培训课程。通过现场演示教授四项基本腹腔镜任务，然后进行有指导的练习。指导学习者记录他们的第一次和最后一次尝试，以便能够自我评估他们的进步。
所有学习者在各自课程结束时都能够成功完成四项腹腔镜任务中的每一项。学习者在课后调查中提供的反馈表明，该课程提供了愉快且高质量的体验。
这种资源有效地为医学生提供了一个低成本的机会，让他们体验腹腔镜检查并培养基本的腹腔镜技能。
