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普通外科住院医师掌握腹腔镜手术基本技能所需的最少课程次数;一份实验报告。

Minimum Number of Required Sessions for Attaining Basic Skills in Laparoscopic Surgery by General Surgery Residents; an Experimental Report.

作者信息

Noaparast Morteza, Toolabi Karamollah, Hghiri Azadeh

机构信息

Department of Surgery, Imam-Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Adv J Emerg Med. 2019 Feb 20;3(2):e18. doi: 10.22114/AJEM.v0i0.131. eCollection 2019 Spring.

Abstract

INTRODUCTION

Training is the primary route of attaining required skills among residents in general surgery.

OBJECTIVE

This study was conducted to evaluate the minimum number of required sessions for attaining basic skills in laparoscopic surgery in a skill-lab among surgical residents.

METHOD

This cross-sectional study was conducted in Imam-Khomeini Hospital during 2012. A total of 20 surgical residents were enrolled. There were 45-60 mins sessions weekly, which included the following seven elementary skills: first knot tie, second knot tie, peg exchange, peg drop, rope pass, needle pass, and paper cut. These skills were evaluated weekly, and qualitative evaluations were done every 2 weeks.

RESULTS

Mean age of the 20 surgical residents was 32.2 ± 4.7 years, and 55.6% of them were males. The median session counts were as follows: six sessions for first knot tie, six sessions for second knot tie, three sessions for peg exchange, eight sessions for needle pass, and five sessions for paper cut.

CONCLUSION

Based on the obtained results, it may be concluded that relatively five sessions are required for acquiring basic skills in laparoscopic surgery by surgical residents.

摘要

引言

培训是普通外科住院医师获得所需技能的主要途径。

目的

本研究旨在评估外科住院医师在技能实验室中获得腹腔镜手术基本技能所需的最少课程次数。

方法

这项横断面研究于2012年在伊玛目霍梅尼医院进行。共招募了20名外科住院医师。每周有45 - 60分钟的课程,包括以下七种基本技能:打第一个结、打第二个结、换套管针、套管针掉落、穿绳、穿针和剪纸。这些技能每周进行评估,每两周进行定性评估。

结果

20名外科住院医师的平均年龄为32.2±4.7岁,其中55.6%为男性。课程次数中位数如下:打第一个结需要6次课程,打第二个结需要6次课程,换套管针需要3次课程,穿针需要8次课程,剪纸需要5次课程。

结论

根据获得的结果,可以得出结论,外科住院医师获得腹腔镜手术基本技能相对需要五次课程。

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