Krustev Eugene, Dubrowski Adam
Medical Education and Simulation, Memorial University of Newfoundland, St. John's, CAN.
Emergency Medicine, Memorial University of Newfoundland, St. John's, CAN.
Cureus. 2019 Apr 2;11(4):e4364. doi: 10.7759/cureus.4364.
Background Knee joint injections and aspirations are essential procedures for medical students, residents, and primary care physicians to master. Simulation-based training has been shown to improve learner confidence and performance scores in knee joint injections. Current knee joint simulators are expensive, ranging from hundreds to thousands of dollars. Using three-dimensional (3D) printing and gel layering technology, we designed and manufactured an inexpensive simulator. The aim of this implementation study was to gather the opinions of local simulation specialists and administrators regarding the simulator's curricular implementation. Methods Using the Consolidated Framework for Implementation Research (CFIR), we developed a 31-item implementation survey. It was administered to local simulation specialists and administrators. The purpose of the survey was to identify the aspects of the simulator that they deemed important to the implementation process, as well as obtain their qualitative feedback about the design. Results In total, three participants completed the survey. There were 16 survey items that were rated as very important, including local manufacturing, appropriate planning, internal development, evidence-based development, and reasonable costs. Another nine items were deemed important, including the adaptability of the product and ability to test the product. The simulation specialists also expressed some concerns they had with the design of the simulator and made suggestions about how we could address these concerns. Conclusions Local development and manufacturing, coupled with appropriate pre-implementation planning and efficacy evidence, were selected as factors that would potentially contribute to the success of the implementation of the simulator in the local curriculum.
背景 膝关节注射和抽吸是医学生、住院医师和初级保健医生必须掌握的重要操作。基于模拟的培训已被证明可以提高学习者在膝关节注射方面的信心和操作成绩。目前的膝关节模拟器价格昂贵，从几百美元到数千美元不等。我们利用三维（3D）打印和凝胶分层技术设计并制造了一种价格低廉的模拟器。本实施研究的目的是收集当地模拟专家和管理人员对该模拟器课程实施的意见。方法 我们使用实施研究综合框架（CFIR）开发了一份包含31个条目的实施调查问卷。该问卷被发放给当地模拟专家和管理人员。调查的目的是确定他们认为对实施过程重要的模拟器方面，以及获取他们对设计的定性反馈。结果 共有三名参与者完成了调查。有16个调查项目被评为非常重要，包括本地制造、适当规划、内部开发、循证开发和合理成本。另外九个项目被认为是重要的，包括产品的适应性和测试产品的能力。模拟专家也表达了他们对模拟器设计的一些担忧，并就如何解决这些担忧提出了建议。结论 本地开发和制造，再加上适当的实施前规划和有效性证据，被选为可能有助于模拟器在当地课程中成功实施的因素。
