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兽医外科住院医师对微创手术模拟训练的认知与体验

Perceptions and experience of veterinary surgery residents with minimally invasive surgery simulation training.

作者信息

Balsa Ingrid M, Giuffrida Michelle A, Culp William T N, Mayhew Philipp D

机构信息

Department of Veterinary Surgical and Radiological Sciences, University of California-Davis, Davis, California.

出版信息

Vet Surg. 2020 Jun;49 Suppl 1:O21-O27. doi: 10.1111/vsu.13295. Epub 2019 Aug 6.

Abstract

OBJECTIVE

To determine access to and use of minimally invasive surgery (MIS) simulators among American College of Veterinary Surgeons (ACVS) small animal residents and to identify barriers to simulator use and perceptions of simulator training.

STUDY DESIGN

Voluntary online survey.

SAMPLE POPULATION

One hundred forty-one ACVS small animal residents.

METHODS

American College of Veterinary Surgeons residents were identified by contacting ACVS residency program directors. An emailed online survey was sent to residents along with a reminder email 2 weeks later. All surveys were collected within 1 month. Participation was voluntary but incentivized.

RESULTS

Response rate to the survey was 79 of 141 (56%) residents. Twenty-eight of 77 (36%) residents have access to a simulator, with box simulators being most common. Lack of time was the most frequent reason for not using the simulator more. Sixty-eight of 77 (88%) and 65 of 77 (65%) residents agreed or strongly agreed that simulator-based training improves laparoscopic skills and that simulator skills are transferable to the operating room, respectively. Residents with access to a simulator were more comfortable with basic laparoscopic surgeries at the end of their residency than those without such access (P = .04).

CONCLUSION

There is substantial room for improved access to and use of MIS simulator training in ACVS residency programs. Despite lack of simulator access, residents believed that simulator training improved their skill and comfort level with basic laparoscopic procedures.

CLINICAL SIGNIFICANCE

The results of this study inform us about access to and perceptions of MIS simulator training among residents. This information is important to surgeons responsible for training residents and may help guide the creation of a surgical skills curriculum.

摘要

目的

确定美国兽医外科学院(ACVS)小动物科住院医生使用微创外科手术(MIS)模拟器的情况,并找出模拟器使用的障碍以及对模拟器培训的看法。

研究设计

自愿在线调查。

样本群体

141名ACVS小动物科住院医生。

方法

通过联系ACVS住院医师项目主任来确定住院医生。向住院医生发送电子邮件在线调查问卷,并在2周后发送提醒邮件。所有调查在1个月内收集完毕。参与是自愿的,但有激励措施。

结果

141名居民中有79名(56%)回复了调查。77名居民中有28名(36%)可以使用模拟器,其中箱式模拟器最为常见。时间不足是不更多使用模拟器的最常见原因。77名居民中有68名(88%)和65名(65%)分别同意或强烈同意基于模拟器的培训可提高腹腔镜手术技能,且模拟器技能可转移到手术室。在住院医师培训结束时,能够使用模拟器的住院医生比无法使用模拟器的住院医生对基本腹腔镜手术更有信心(P = 0.04)。

结论

在ACVS住院医师培训项目中,改善MIS模拟器培训的获取和使用情况仍有很大空间。尽管无法使用模拟器,但住院医生认为模拟器培训提高了他们在基本腹腔镜手术方面的技能和信心。

临床意义

本研究结果让我们了解了住院医生对MIS模拟器培训的获取情况和看法。这些信息对于负责培训住院医生的外科医生很重要,可能有助于指导外科手术技能课程的创建。

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