教学模拟关节镜下 Bankart 修复术：年度肩部课程中住院医师的评估。
Teaching simulated arthroscopic Bankart repair: residents’ assessment at the Annual Shoulder Course.
机构信息
From the Department of Surgery, Hôpital du Sacré-Coeur de Montréal, Montreal, Que. (Rouleau, Canet, Petit); and the Department of Surgery, Université de Montréal, Montréal, Que. (Bédard).
出版信息
Can J Surg. 2019 Aug 1;62(4):227-234. doi: 10.1503/cjs.004618.
BACKGROUND
This study’s aim was to evaluate the performance of senior orthopedic residents during simulated arthroscopic anterior stabilization (Bankart repair) before and after a national shoulder review course.
METHODS
Participants were assessed before and after the Annual Shoulder Review Course over a 3-day period, using a multiple-choice examination and surgery performance assessment. The surgical evaluation was completed by fellowship-trained surgeons using a standardized procedure checklist and a global rating scale. All Canadian senior orthopedic residents were invited to participate in the course.
RESULTS
The 57 participants showed improvement following the course. The written knowledge evaluation mean score increased, and all 3 surgical performance measurements improved: surgical task time improved from 4:40 min to 2:53 min (p < 0.001), surgical technique evaluation increased from 56% to 67% after the procedure checklist (p < 0.001), and anchor placement improved for all 3 aspects. Anchor entry point was the sole measure not to improve enough to reach statistical significance (p = 0.37).
CONCLUSION
Our data support the inclusion of dry model surgical simulation as part of a surgical skills course for both training and assessment of orthopedic surgery residents.
背景
本研究旨在评估高级骨科住院医师在参加全国肩关节综述课程前后进行模拟关节镜下前稳定（Bankart 修复）的表现。
方法
参与者在为期 3 天的时间内，通过多项选择题考试和手术表现评估，在参加年度肩关节综述课程前后接受评估。手术评估由接受过 fellowship 培训的外科医生使用标准化手术检查表和整体评分量表进行。所有加拿大高级骨科住院医师均被邀请参加该课程。
结果
57 名参与者在课程后表现出了改善。书面知识评估平均分数提高，所有 3 项手术表现测量均有所提高：手术任务时间从 4:40 分钟缩短至 2:53 分钟（p < 0.001），手术技术评估检查表后从 56%提高至 67%（p < 0.001），所有 3 个方面的锚定放置均有所改善。仅锚定入口点未改善到足以达到统计学意义（p = 0.37）。
结论
我们的数据支持将干模型手术模拟作为骨科住院医师手术技能课程的一部分，用于培训和评估。
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