Respiratory and Sleep Medicine, Flinders Medical Centre, Adelaide, South Australia, Australia
Respiratory and Sleep Medicine, Royal Darwin Hospital, Casuarina, Northern Territory, Australia.
Postgrad Med J. 2019 May;95(1123):245-250. doi: 10.1136/postgradmedj-2018-136380. Epub 2019 Apr 16.
Pleural diseases are common in clinical practice. Doctors in training often encounter these patients and are expected to perform diagnostic and therapeutic pleural procedures with confidence and safely. However, pleural procedures can be associated with significant complications, especially when performed by less experienced. Structured training such as use of training manikin and procedural skills workshop may help trainee doctors to achieve competence. However, high costs involved in acquiring simulation technology or attending a workshop may be a hurdle. We hereby describe a training model using a simple manikin developed in our institution and provide an effective way to document skill acquisition and assessment among trainee medical officers.
This was a prospective observational study. The need for training, competence and confidence of trainees in performing pleural procedures was assessed through an online survey. Trainees underwent structured simulation training through a simple manikin developed at our institute. Follow-up survey after the training was then performed to access confidence and competence in performing pleural procedures.
Forty-seven trainees responded to an online survey and 91% of those expressed that they would like further training in pleural procedure skills. 81% and 85% of responders, respectively, indicated preferred method of training is either practising on manikin or performing the procedure under supervision. Follow-up survey showed improvement in the confidence and competence.
Our pleural procedure training manikin model is a reliable, novel and cost-effective method for acquiring competences in pleural procedures.
胸膜疾病在临床实践中很常见。受训医生经常会遇到这些患者，并且需要有信心和安全地进行诊断和治疗性胸膜操作。然而，胸膜操作可能会带来严重的并发症，尤其是在经验不足的情况下。使用培训模型和操作技能研讨会等结构化培训可能有助于受训医生获得能力。然而，获取模拟技术或参加研讨会的高昂成本可能是一个障碍。我们在此描述了一种使用我们机构开发的简单模型的培训模型，并提供了一种有效记录受训医生获得和评估技能的方法。
这是一项前瞻性观察性研究。通过在线调查评估受训者在进行胸膜操作方面的培训需求、能力和信心。受训者通过我们研究所开发的简单模型接受结构化模拟培训。培训后进行随访调查，以评估进行胸膜操作的信心和能力。
47 名受训者对在线调查做出了回应，其中 91%的人表示希望进一步接受胸膜操作技能培训。分别有 81%和 85%的应答者表示，他们更喜欢在模型上练习或在监督下进行操作作为培训方法。随访调查显示信心和能力有所提高。
我们的胸膜操作培训模型是一种可靠、新颖且具有成本效益的方法，可以获得胸膜操作能力。
